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Long-term burden of care and radiation exposure in survivors of esophageal atresia
Zamiara P, Thomas KE, Connolly BL et al
J Pediatr Surg (2015)50:1686-1690
Esophageal atresia (EA) affects 1 in 3000 live births. Over 90% of children survive the surgical repair and the majority are now expected to live into adulthood. This single-institution review looked retrospectively at all newborns with EA and tracheoesophageal fistula with regard to initial and total hospitalization length of stay, number of clinic visits and procedures requiring general anaesthesia (GA) in the first 3 years of life. Seventy-one of 78 (91%) survived to discharge and 69 were included for analysis. Mean length of initial hospital stay was 51.3 days (range 9-390). By age 3 years, patients required 4.5 procedures (range 1-23) under GA, attended 13.5 (range 3-40) outpatient clinics and were exposed to 17.4 mSv of ionizing radiation (range 3-59.9) from 40 (range 5-165) radiological examinations. The authors conclude, as...