Dysphagia in children with repaired oesophageal atresia

Coppens, Catelijne H.; Engel-Hoek, Lenie van den; Scharbatke, Horst; Groot, S.A.F. de; Draaisma, J. M. T.

doi:10.1007/s00431-016-2760-4

Cited by 37 publications

(43 citation statements)

References 25 publications

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“…A recent cohort study concluded that oropharyngeal dysphagia is highly prevalent in young children with repaired EA. 5 These study results reveal the necessity of swallowing rehabilitation programs in this patient population. Besides great flexibility in terms of swallowing evaluation methods including instrumental techniques and noninstrumental assessments, 6,7 there is no certain treatment algorithm or recommended approach and no data are available on results of swallowing rehabilitation programs in EA/TEF patients.…”

Section: Introductionmentioning

confidence: 69%

Effect of Swallowing Rehabilitation Protocol on Swallowing Function in Patients with Esophageal Atresia and/or Tracheoesophageal Fistula

et al. 2017

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The aim of this study was to evaluate the results of Swallowing Rehabilitation Protocol (SRP) on swallowing function (SF) of esophageal atresia and tracheoesophageal fistula (EA-TEF) patients with pharyngeal swallowing disorder. In this study, 24 children with EA-TEF who had deglutitive and respiratory problems were grouped into either study ( = 12) or control group ( = 12) by basic randomization. Study group received the SRP including neuromuscular electrical stimulation, thermal tactile stimulation, and hyolaryngeal mobilization. The control group received nonnutritive stimulations. SF was evaluated with 3 mL liquid and pudding barium by videofluoroscopic swallowing study (VFSS) before and after 20 sessions of interventions. No statistical differences were found between groups in terms of descriptive characteristics including age, sex, weight, height, type of atresia, repair type, repair time, and start time of oral intake ( > 0.05). There were no statistical differences between groups in term of swallowing parameters ( > 0.05), except reflux ( = 0.004) according to VFSS findings. After 20 sessions of interventions, the study group showed improvement in penetration-aspiration scale scores, oral phase dysfunction, delay in swallowing reflex, and residue in valleculae and pyriform sinuses after pudding swallow. The control group showed improvement only in oral phase dysfunction. SRP can be recommended to improve SF in patients with EA/TEF who have pharyngeal swallowing disorders.

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Section: Introductionmentioning

confidence: 69%

Effect of Swallowing Rehabilitation Protocol on Swallowing Function in Patients with Esophageal Atresia and/or Tracheoesophageal Fistula

et al. 2017

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“…To quantify the severity of the feeding problems, the validated Functional Oral Intake Scale was used [12,13]. The 7 levels of the Functional Oral intake Scale were compromised into three categories (oral diet without restrictions (level 7), oral diet with restrictions (level 4-6) and tube-dependent feeding (levels 1-3)) to provide a comprehensive overview of the course of the feeding problems [13]. The feeding status of the children was linked to their genotype.…”

Section: Patient Populationmentioning

confidence: 99%

Young children with Noonan syndrome: evaluation of feeding problems

Draaisma¹,

Drossaers²,

Engel-Hoek

et al. 2020

Eur J Pediatr

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Noonan syndrome (NS) is a common genetic syndrome with a high variety in phenotype. Even though genetic testing is possible, NS is still a clinical diagnosis. Feeding problems are often present in infancy. We investigated the feeding status of 108 patients with clinically and genetically confirmed NS. Only patients with a documented feeding status before the age of 6 were included. A distinction was made between patients with early onset feeding problems (< 1 year) and children with late onset feeding problems (> 1 year). Seventy-one of 108 patients had feeding problems, of which 40 patients required tube feeding. Children with a genetic mutation other than PTPN11 and SOS1 had significantly more feeding problems in the first year. Fifty-two of all 108 patients experienced early onset feeding problems, of which 33 required tube feeding. A strong decrease in prevalence of feeding problems was found after the first year of life. Fifteen children developed feeding problems later in life, of which 7 required tube feeding. Conclusion: Feeding problems occur frequently in children with NS, especially in children with NS based on genetic mutations other than PTPN11 and SOS1. Feeding problems develop most often in infancy and decrease with age. What is Known:• Young children with Noonan syndrome may have transient feeding problems.• Most of them will need tube feeding. What is New:• This is the first study of feeding problems in patients with clinically and genetically proven Noonan syndrome.• Feeding problems most often develop in infancy and resolve between the age of 1 and 2.

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“…Aspiration is an underrecognized cause of feeding difficulty in children with EA [ 28 , 59 ]. Using a feeding questionnaire, Puntis et al showed the presence of coughing or choking during feeds in 20% (25/124) of children born with CEA ± TEF, and Smith et al reported the presence of food sticking in the esophagus in 18/23 (78%) of children who underwent repair [ 70 , 71 , 72 ].…”

Section: Aspiration and Dysphagiamentioning

confidence: 99%

Respiratory Morbidity in Children with Repaired Congenital Esophageal Atresia with or without Tracheoesophageal Fistula

Patria

Ghislanzoni

Macchini

et al. 2017

IJERPH

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Congenital esophageal atresia with or without tracheoesophageal fistula (CEA ± TEF) is a relatively common malformation that occurs in 1 of 2500–4500 live births. Despite the refinement of surgical techniques, a considerable proportion of children experience short- and long-term respiratory complications, which can significantly affect their health through adulthood. This review focuses on the underlying mechanisms and clinical presentation of respiratory morbidity in children with repaired CEA ± TEF. The reasons for the short-term pulmonary impairments are multifactorial and related to the surgical complications, such as anastomotic leaks, stenosis, and recurrence of fistula. Long-term respiratory morbidity is grouped into four categories according to the body section or function mainly involved: upper respiratory tract, lower respiratory tract, gastrointestinal tract, and aspiration and dysphagia. The reasons for the persistence of respiratory morbidity to adulthood are not univocal. The malformation itself, the acquired damage after the surgical repair, various co-morbidities, and the recurrence of lower respiratory tract infections at an early age can contribute to pulmonary impairment. Nevertheless, other conditions, including smoking habits and, in particular, atopy can play a role in the recurrence of infections. In conclusion, our manuscript shows that most children born with CEA ± TEF survive into adulthood, but many comorbidities, mainly esophageal and respiratory issues, may persist. The pulmonary impairment involves many underlying mechanisms, which begin in the first years of life. Therefore, early detection and management of pulmonary morbidity may be important to prevent impairment in pulmonary function and serious long-term complications. To obtain a successful outcome, it is fundamental to ensure a standardized follow-up that must continue until adulthood.

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Dysphagia in children with repaired oesophageal atresia

Cited by 37 publications

References 25 publications

Effect of Swallowing Rehabilitation Protocol on Swallowing Function in Patients with Esophageal Atresia and/or Tracheoesophageal Fistula

Effect of Swallowing Rehabilitation Protocol on Swallowing Function in Patients with Esophageal Atresia and/or Tracheoesophageal Fistula

Young children with Noonan syndrome: evaluation of feeding problems

Respiratory Morbidity in Children with Repaired Congenital Esophageal Atresia with or without Tracheoesophageal Fistula

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