Document Detail


Associated malformations in patients with esophageal atresia.
MedLine Citation:
PMID:  19410022     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Esophageal atresia is a common type of congenital malformation. The etiology of esophageal atresia is unclear and its pathogenesis is controversial. Because previous reports have inconsistently noted the type and frequency of malformations associated with esophageal atresia, we conducted this study in a geographically well-defined population, evaluating the birth prevalence of esophageal atresia and associated malformations ascertained between 1979 and 2003 in 334,262 consecutive births. Of the 99 patients with esophageal atresia, 46 (46.5%) had associated malformations. These included patients with chromosomal abnormalities (8 patients, 8%); non-chromosomal recognized syndromes (4 patients), including one each CHARGE syndrome, Fanconi anemia, Fryns syndrome, and Opitz G/BBB syndrome; associations including VACTERL (10 patients), and one schisis; one oculo-auriculo-vertebral spectrum; one malformation complex, a sirenomelia, and non-syndromic multiple congenital anomalies (MCA) (21 patients, 21%). Malformations of the cardiovascular system (24%), urogenital system (21%), digestive system (21%), musculoskeletal system (14%), and central nervous system (7%) were the most common other congenital malformations occurring in patients with esophageal atresia and non-syndromic MCA. We observed a high prevalence of total malformations and specific patterns of malformations associated with esophageal atresia which emphasizes the need to evaluate all patients with esophageal atresia for possible associated malformations. The malformations associated with esophageal atresia could be classified into a recognizable malformation syndrome or pattern in 25 out of 46 patients (54%).
Authors:
Claude Stoll; Yves Alembik; Beatrice Dott; Marie-Paule Roth
Publication Detail:
Type:  Journal Article     Date:  2009-05-04
Journal Detail:
Title:  European journal of medical genetics     Volume:  52     ISSN:  1878-0849     ISO Abbreviation:  Eur J Med Genet     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-08-25     Completed Date:  2009-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101247089     Medline TA:  Eur J Med Genet     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  287-90     Citation Subset:  IM    
Affiliation:
Laboratoire de Génétique Médicale, 11, rue Humann, 67085 Strasbourg Cedex, France. claude.stoll@medecine.u-strasbg.fr
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / epidemiology*,  etiology,  genetics
Abortion, Induced / statistics & numerical data
Chromosome Aberrations / statistics & numerical data
Cities
Cohort Studies
Congenital Abnormalities / epidemiology*,  genetics
Esophageal Atresia / complications*,  genetics
Female
France
Humans
Infant, Newborn
Live Birth / epidemiology,  genetics
Pregnancy
Prevalence
Registries
Retrospective Studies
Rural Population / statistics & numerical data
Stillbirth / epidemiology,  genetics
Urban Population / statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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