| Long-term functional results and quality of life after colon interposition for long-gap oesophageal atresia. | |
| | |
MedLine Citation:
|
PMID: 7577857 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Out of a series of 146 patients with oesophageal atresia 9 (6.2%) underwent colon interposition from 1963 to 1971. All eight surviving patients were seen at follow-up after a mean of 22 years. Three patients were free of specific symptoms according to the criteria of DeMeester, two had moderate and three severe distress. The mean time for consuming a standardized test meal was 15 minutes, compared to 8 minutes in healthy controls. Patients required 1-9 minutes to transport liquid barium through the transplant, compared to < 10 seconds in control subjects. Histological evaluation revealed a normal architecture of the colonic and ileal epithelium in three patients who underwent endoscopy. In none of these patients were contractions in the colon graft related to the act of swallowing recorded on manometry. Unimpaired quality of life was indicated by the Spitzer index which scored a mean of nine out of ten points. However, on a 100point visual analogue scale patients scored their global quality of life 66 and the mean Gastrointestinal Quality of Life Index was 92.2, compared to 107.6 in healthy control subjects (p < 0.05). This impairment was exclusively due to specific symptoms which scored 49.3 in patients and 59 in healthy individuals (p < 0.05). Physical and social functions, emotions, and inconvenience of a medical treatment were similar to control subjects. We conclude that colon interposition for long-gap oesophageal atresia achieves acceptable long-term functional results. However, specific symptoms lead to a considerable impairment in quality of life. |
| | |
Authors:
|
B M Ure; E Slany; E P Eypasch; M Gharib; A M Holschneider; H Troidl |
Related Documents
:
|
18154217 - Dermatologic toxicities associated with egfr inhibitors: the clinical psychologist's pe... 138707 - Scaling of life changes: differences between three diagnostic groups and between recent... 18423987 - Preference of medicine and patient-reported quality of life in community-treated schizo... 15741267 - Quality of life in patients after long-term biochemical cure of cushing's disease. 21294937 - Spanish revised memory and behavior problems checklist scale (sprmbpc): trans-cultural ... 9753257 - Tricyclic antidepressants for functional nausea and vomiting: clinical outcome in 37 pa... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie Volume: 5 ISSN: 0939-7248 ISO Abbreviation: Eur J Pediatr Surg Publication Date: 1995 Aug |
Date Detail:
|
Created Date: 1995-12-21 Completed Date: 1995-12-21 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 9105263 Medline TA: Eur J Pediatr Surg Country: GERMANY |
Other Details:
|
Languages: eng Pagination: 206-10 Citation Subset: IM |
Affiliation:
|
Department of Paediatric Surgery, Children's Hospital of Cologne, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Colon / transplantation* Deglutition Disorders / epidemiology*, etiology Esophageal Atresia / physiopathology*, psychology, surgery* Female Follow-Up Studies Humans Infant Male Patient Satisfaction Postoperative Complications / epidemiology*, etiology Quality of Life* Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Gastroesophageal reflux in association with the Sandifer syndrome.
Next Document: TIPS: a new therapy for esophageal variceal bleeding caused by EHBA.