Management of Adults With Esophageal Atresia.

Julie Khlevner, Daniela Jodorkovsky, Dominique D Bailey, William Middlesworth, Amrita Sethi, Julian Abrams, David A Katzka

Journal: Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2022;21(1):15-25

PMID: 35952943

Full Text on Elsevier Science View on PubMed

Abstract

Esophageal atresia (EA) with or without trachea-esophageal fistula is relatively common congenital malformation with most patients living into adulthood. As a result, care of the adult patient with EA is becoming more common. Although surgical repair has changed EA from a fatal to a livable condition, the residual effects of the anomaly may lead to a lifetime of complications. These include effects related to the underlying deformity such as atonicity of the esophageal segment, fistula recurrence, and esophageal cancer to complications of the surgery including anastomotic stricture, gastroesophageal reflux, and coping with an organ transposition. This review discusses the occurrence and management of these conditions in adulthood and the role of an effective transition from pediatric to adult care to optimize adult care treatment.

Address: Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Columbia University Vagelos College of Physicians and Surgeons, Columbia University Medical Center, New York, New York.; Division of Adult Gastroenterology, Columbia University Vagelos College of Physicians and Surgeons, Columbia University Medical Center, New York, New York.; Division of Pediatric Surgery, Columbia University Vagelos College of Physicians and Surgeons, Columbia University Medical Center, New York, New York.; Division of Adult Gastroenterology, Columbia University Vagelos College of Physicians and Surgeons, Columbia University Medical Center, New York, New York. Electronic address: [email protected].

DOI: 10.1016/j.cgh.2022.07.037

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MeSH Terms: Humans, Adult, Child, Esophageal Atresia, Tracheoesophageal Fistula, Transition to Adult Care, Trachea, Postoperative Complications, Esophageal Stenosis