title: Long-Term Prognosis of Patients with Esophageal Atresia and/or Tracheoesophageal Fistula.
abstract: OBJECTIVE
  To investigate long-term prognosis of infants with esophageal atresia (EA) and/or tracheoesophageal fistula (TEF).
  
  
  METHODS
  The data of patients with EA were investigated from their medical files. For the neurodevelopmental evaluation, they were requested to come for a return visit to authors' polyclinic. Intellectual development was assessed by Ankara Developmental Screening Inventory (ADSI) (for 0-6 age) and Wechsler Intelligence Scale for Children-Revised (WISC-R) (for 6-16 age).
  
  
  RESULTS
  Of the 57 patients, 50 had EA+ distal TEF (87.7 %), six had isolated EA (10.5 %) and one had isolated TEF (1.8 %). Of the total patients, 18 cases (31 %) died and remaining 39 cases (69 %) survived. In the surviving cases, the most common long-term complication was dysphagia (n = 37, 94.8 %). Intellectual levels of the 24 patients assessed by ADSI were normal and of the remaining 15 cases evaluated by WISC-R ranged between 95 and 110 points.
  
  
  CONCLUSIONS
  The long-term complications and hospital visits are common in surviving cases of EA; however, they have normal cognitive functions and physical developmental characteristics.
authors.affiliation: Department of Pediatric Surgery, Firat University School of Medicine, 23119, Elazig, Turkey. unalbakal@hotmail.com.
authors.forename: Unal
authors.initials: U
authors.lastname: Bakal
authors.affiliation: Department of Pediatric Surgery, Firat University School of Medicine, 23119, Elazig, Turkey.
authors.forename: Fikret
authors.initials: F
authors.lastname: Ersoz
authors.affiliation: Department of Psychology, Elazığ Mental Health Hospital, Elazig, Turkey.
authors.forename: Irem
authors.initials: I
authors.lastname: Eker
authors.affiliation: Department of Pediatric Surgery, Firat University School of Medicine, 23119, Elazig, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Sarac
authors.affiliation: Department of Pediatrics-Neonatology, Firat University School of Medicine, Elazig, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Aydin
authors.affiliation: Department of Pediatric Surgery, Firat University School of Medicine, 23119, Elazig, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Kazez
mesh_terms: D002648:Child; D002657:Child Development / Q000502:physiology; D003071:Cognition / Q000502:physiology; D004933:Esophageal Atresia / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D005183:Failure to Thrive / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D008607:Intellectual Disability / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D000069451:Long Term Adverse Effects / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology; D008297:Male; D011379:Prognosis; D016019:Survival Analysis; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D014421:Turkey / Q000453:epidemiology
keywords: Cognitive function; Esophageal atresia; Growth retardation; Intelligence quotient; Physical development; Prognosis; Tracheoesophageal fistula