Document Detail


Gastrointestinal system malformations in children are associated with congenital heart defects.
MedLine Citation:
PMID:  21342865     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the frequency of congenital heart defects (CHD) in children with gastrointestinal malformations (GISM) and mortality rates in patients with GISM.
METHODS: Two hundred and forty two consecutive children patients with GISM followed up in Pediatric Surgery Clinics of our hospital were examined for cardiovascular anomaly by the Department of Pediatric Cardiology, and the CHD incidence was investigated by examining the records of the patients retrospectively. Chi-square test was used for the statistical analysis of data.
RESULTS: Two hundred and forty two patients with gastrointestinal system malformations were included in the study. Of 242 patients, 135 (55.8%) were male and 107 (44.2%) were female, and their age range was 0-15 years. The most frequent GISM were anorectal malformations (43.2%), atresia involving stomach, ileum or colon (21%) and esophageal atresia/tracheoesophageal fistula (18.3%). Congenital heart defects were observed in 28.5% of the participants. The most frequent defects were as follows; atrial septal defect (31 patients, 44.9%) a, ventricular septal defect (17 patients, 24.6%) and patent ductus arteriosus (5 patients, 7.2%). There was no significant difference (p>0.05) in mortality rate in patients with CHD (16.7%) and without CHD (13.3%) undergoing operations for GISM.
CONCLUSION: We would like to emphasize the importance of the earliest possible cardiological evaluation of all patients with gastrointestinal system malformations.
Authors:
Utku Arman Orün; Meki Bilici; Fulya G Demirçeken; Mahya Tosun; Burhan Ocal; Yusuf Hakan Cavuşoğlu; Derya Erdoğan; Filiz Senocak; Selmin Karademir
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Publication Detail:
Type:  Journal Article     Date:  2011-02-23
Journal Detail:
Title:  Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology     Volume:  11     ISSN:  1308-0032     ISO Abbreviation:  Anadolu Kardiyol Derg     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-07     Completed Date:  2012-01-05     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  101095069     Medline TA:  Anadolu Kardiyol Derg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  146-9     Citation Subset:  IM    
Affiliation:
Clinic of Pediatric Cardiology, Department of Pediatric Cardiology, Faculty of Medicine, Fatih University, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / epidemiology*,  mortality
Adolescent
Cardiovascular Abnormalities / complications,  epidemiology,  mortality
Central Nervous System / abnormalities
Child
Child, Preschool
Down Syndrome / complications,  epidemiology
Female
Gastrointestinal Tract / abnormalities*
Heart Defects, Congenital / complications*,  epidemiology,  mortality
Humans
Infant
Male
Musculoskeletal Abnormalities / complications,  epidemiology,  mortality
Retrospective Studies
Skull / abnormalities
Turkey / epidemiology
Urinary Tract / abnormalities

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