Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery
Yıl: 2020 Cilt: 10 Sayı: 3 Sayfa Aralığı: 274 - 280 Metin Dili: İngilizce DOI: 10.5222/buchd.2020.53325 İndeks Tarihi: 13-05-2021
Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery
Öz: Objective: Esophageal atresia (EA) and/or tracheoesophageal fistula (TEF) is one of the common developmental anomalies of the foregut. Despite advances in surgical techniques and postoperative care, respiratory system complications affect the quality of life of patients. We planned to evaluate our patients in terms of the general features, the risk factors for respiratory morbidity and short- and long-term respiratory complications after corrective surgical treatment. Method: Thirty-six patients with the diagnosis of EA and/or TEF and followed after surgical treatment between 2002 and 2019 were retrospectively enrolled in the study.Results: The most common symptom was chronic cough (77.7%) and wheezing (41.6%). Recurrent pulmonary infections were present in the great majority of the patients. The frequency of pulmonary infections was higher in patients who had undergone dilatation due to stricture (N=14) and in patients with recurrent TEF (N=6) and malacia (N=10). Bronchiectasis was present in eight patients and hospital admission due to infections was highly frequent. Aeroallergen sensitivity was detected in four and food allergy in five patients. Scoliosis was present in 33.3% of the patients all of whom had recurrent pulmonary infections. Pulmonary function tests were performed in 10 patients. Five patients had impaired pulmonary function. Medical treatment for reflux was given to the majority of patients (N=30), while fundoplication was performed in 10 patients. Most of the patients had a significant decrease in the frequency of pulmonary infections after the procedure. Conclusion: The etiology of pulmonary complications is multifactorial and many factors affect each other. Evaluation and management of the patients for each complication will improve the quality of life and comfort of the patients
Anahtar Kelime: Özofagus Atrezisi ve/veya Trakeoözofageal Fistül Cerrahisi Sonrası Solunum Sistemi Erken ve Geç Dönem Komplikasyonlarının İncelenmesi
Öz: Amaç: Özofagus atrezisi (ÖA) ve/veya trakeoözofageal fistül (TÖF) önbağırsağın en sık gelişim anomalile rinden biridir. Cerrahi teknikler ve operasyon sonrası bakımdaki ilerlemelere rağmen, solunum sistemikomplikasyonları hastaların yaşam kalitesini etkilemektedir. Bu nedenle çalışmamızda, hastaların genelözelliklerini, respiratuvar morbidite risk faktörlerini ve düzeltme operasyonu sonrası solunum sistemi erkenve geç dönem komplikasyonlarını değerlendirmeyi amaçladık. Yöntem: Çalışmaya 2002-2019 yılları arasında ÖA ve/veya TÖF tanısı ile düzeltme operasyonu sonrasıtakip edilen 36 hasta dahil edildi. Bulgular: En sık semptom kronik öksürük (%77,7) ve hışıltı (%41,6) idi. Hastaların büyük çoğunluğundayineleyen akciğer enfeksiyonu vardı. Akciğer enfeksiyonu sıklığı striktür nedeniyle dilatasyon uygulanan(N=14), rekürren TÖF (N=6) saptanan ve malazi (N=10) bulunan hastalarda daha fazlaydı. Bronşektazisekiz hastada vardı ve bu hastalarda akciğer enfeksiyonu nedeniyle hastaneye başvuru sıktı. Dört hastadaaeroallerjen duyarlılığı ve beş hastada besin alerjisi saptanmıştı. Skolyoz hastaların %33,3’ünde vardı ve buhastaların hepsinde yineleyen akciğer enfeksiyonu bulunmaktaydı. Solunum fonksiyon testi 10 hastayauygulanmıştı. Beş hastada solunum fonksiyon testinde düşüklük vardı. Hastaların büyük çoğunluğuna(N=30) reflü nedeniyle medikal tedavi başlanmıştı. On hastaya fundoplikasyon işlemi uygulanmıştı. İşlemsonrası birçok hastada akciğer enfeksiyonu sıklığında belirgin azalma gözlenmişti. Sonuç: Hastalarda pulmoner komplikasyonların etiyolojisi multifaktöriyeldir ve birçok faktör birbirini etki lemektedir. Hastaların komplikasyonlar açısından değerlendirilmesi ve yönetimi, yaşam kalitesi ve konfo runu arttıracaktır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Kartal Öztürk G, Eşki A, Demir E, GULEN F (2020). Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery. , 274 - 280. 10.5222/buchd.2020.53325 |
| Chicago | Kartal Öztürk Gökçen,Eşki Aykut,Demir Esen,GULEN Figen Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery. (2020): 274 - 280. 10.5222/buchd.2020.53325 |
| MLA | Kartal Öztürk Gökçen,Eşki Aykut,Demir Esen,GULEN Figen Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery. , 2020, ss.274 - 280. 10.5222/buchd.2020.53325 |
| AMA | Kartal Öztürk G,Eşki A,Demir E,GULEN F Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery. . 2020; 274 - 280. 10.5222/buchd.2020.53325 |
| Vancouver | Kartal Öztürk G,Eşki A,Demir E,GULEN F Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery. . 2020; 274 - 280. 10.5222/buchd.2020.53325 |
| IEEE | Kartal Öztürk G,Eşki A,Demir E,GULEN F "Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery." , ss.274 - 280, 2020. 10.5222/buchd.2020.53325 |
| ISNAD | Kartal Öztürk, Gökçen vd. "Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery". (2020), 274-280. https://doi.org/10.5222/buchd.2020.53325 |
| APA | Kartal Öztürk G, Eşki A, Demir E, GULEN F (2020). Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 10(3), 274 - 280. 10.5222/buchd.2020.53325 |
| Chicago | Kartal Öztürk Gökçen,Eşki Aykut,Demir Esen,GULEN Figen Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 10, no.3 (2020): 274 - 280. 10.5222/buchd.2020.53325 |
| MLA | Kartal Öztürk Gökçen,Eşki Aykut,Demir Esen,GULEN Figen Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, vol.10, no.3, 2020, ss.274 - 280. 10.5222/buchd.2020.53325 |
| AMA | Kartal Öztürk G,Eşki A,Demir E,GULEN F Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2020; 10(3): 274 - 280. 10.5222/buchd.2020.53325 |
| Vancouver | Kartal Öztürk G,Eşki A,Demir E,GULEN F Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2020; 10(3): 274 - 280. 10.5222/buchd.2020.53325 |
| IEEE | Kartal Öztürk G,Eşki A,Demir E,GULEN F "Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery." İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 10, ss.274 - 280, 2020. 10.5222/buchd.2020.53325 |
| ISNAD | Kartal Öztürk, Gökçen vd. "Investigation of Short and Long-TermComplications of Respiratory System AfterEsophageal Atresia and/or TracheoesophagealFistular Surgery". İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi 10/3 (2020), 274-280. https://doi.org/10.5222/buchd.2020.53325 |
