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Table 4 Post-operative and long-term complications

From: Gastro-esophageal and respiratory morbidity in children after esophageal atresia repair: a 23-year review from a single tertiary institution in Asia

 

All patients (n = 65)

LGEA (n = 13)

Non-LGEA (n = 52)

p value*

Mortality

7 (10.8%)

1 (7.7%)

6 (11.5%)

1.00

Surgical complications

21 (32.3%)

7 (53.8%)

14 (26.9%)

0.096

 Anastomotic stricture

20 (30.8%)

7 (53.8%)

13 (25.0%)

0.089

 Anastomotic leak

4 (6.2%)

3 (23.1%)

1 (1.9%)

0.023

 Recurrent TEF

3 (4.6%)

1 (7.7%)

2 (3.8%)

0.494

Gastro-esophageal complications

38 (58.5%)

10 (76.9%)

28 (53.8%)

0.209

 GERD

28 (43.1%)

8 (61.5%)

20 (38.5%)

0.210

 Dysphagia

20 (30.8%)

2 (15.4%)

18 (34.6%)

0.314

 Esophagitis

4 (6.2%)

0

4 (7.7%)

0.576

Respiratory complications

42 (64.6%)

7 (53.8%)

35 (67.3%)

0.518

 Chronic cough

19 (29.2%)

0

19 (36.5%)

0.007

 Pneumonia

19 (29.2%)

7 (53.8%)

12 (23.1%)

0.042

 Recurrent RTI

23 (35.3%)

4 (30.8%)

19 (36.5%)

0.758

 Asthma/BHR

13 (20%)

1 (7.7%)

12 (23.1%)

0.438

 Bronchiectasis

3 (4.6%)

1 (7.7%)

2 (3.8%)

0.494

 Tracheomalacia

22 (33.8%)

1 (7.7%)

21 (40.4%)

0.046

Interventions

 Dilatations for AS, median (IQR)

5 (3–5)

4.5 (2.75–8)

5.5 (3.25–8)

0.671

 Anti-reflux medicationsa

48 (73.8%)

12 (92.3%)

36 (69.2%)

0.157

 Fundoplication performed

9 (13.8%)

4 (30.8%)

5 (9.6%)

0.070

 Bronchodilatorsb

15 (23.1%)

1 (7.7%)

14 (26.9%)

0.268

  1. RTI respiratory tract infections, BHR bronchial hyper-reactivity, AS anastomotic strictures
  2. aCurrent and previous use of anti-reflux medications
  3. b Current and previous use of bronchodilators
  4. *p value is for comparison between LGEA and non-LGEA