Objective: To evaluate general health condition of children operated for esophageal atresia, including complications from gastrointestinal tract and skeletal defects. Methods:Between 1990 and 2005, 77 patients were operated for esophageal atresia in the Polish Mother's Health Memorial Hospital. The study was based on retrospective analysis of medical case records of all children with esophageal atresia. All living patients (n=51) were invited for follow-up studies.Results: Pathological gastroesophageal reflux was found in 46.7% of children. Scoliosis was diagnosed in 20 patients. Chest deformations were observed in 43.3% children Conclusion:The absence of clinical symptoms does not exclude the presence of gastroesophageal reflux in children operated for esophageal atresia. Children operated for esophageal atresia should be followed up regularly by a multispecialistic medical team.

Introduction: Gastroesophageal reflux (GER) and food allergy are conditions occurring most often in young children. Many authors emphasize the relationship between them. Aim: To evaluate 24-h oesophageal pH monitoring in children with food allergy. Material and methods: The retrospective analysis included 84 children with food allergy aged from 4 months to 24 months. The control group consisted of 15 children at the same age diagnosed with GER but without features of allergy. All children underwent 24-h oesophageal pH monitoring. Results: Gastroesophageal reflux was diagnosed among children with allergy in 29 patients (34.5%). A gradual increase of the number and duration of reflux episodes in the period between meals compared to the postprandial period in both groups with GER was observed. The number of reflux episodes was higher in children with coexistent allergy. Analysis of graphic record of oesophageal pH monitoring revealed a primary reflux in 12 children with GER and allergy as well as in 9 children from the control group. In the remaining children from both groups the record showed features of secondary reflux, but the phases were not fully presented. The incidence of GER with features of secondary reflux was similar in both groups. Conclusions: Twenty-four-hour oesophageal pH monitoring is helpful, but it cannot be the sole diagnostic criterion in the diagnosis of GER dependent on food allergy. Such a diagnosis should be based on the results of oesophageal pH monitoring as well as allergological and immunological tests.

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