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Sequellary food behavior disorders after surgery for esophageal atresia

. Breaud*, M. Albertini*, V. Triolo*, S. Desmet*, F. Casagrande*, JY. Kurzenne *, F. Bastiani*, JS. Valla**, S. Beaumier*

* Pediatric Unit, CHU Nice;

** Lenval Foundation, Nice, France



Aim: to evaluate the food behavior in children operated for esophageal atresia (EA)

Material and methods: regional study (PACA-Est region) retrospective over 8 years – data collected by questionnaires and consultations.

Results: 21 answers (/36 operated patients) on the food disorders (FD): 6/21 (28,5%)- spoon feeding difficulties, 11/21 (52,3%): difficulties in ingesting small pieces of food, 18/21 (85,7%): difficulties in ingesting large pieces of food. Introduction of food pieces: median age: 20 months; 4/21 (66,6%): dysphagia: weekly blockings for 7/21 (33,3%) and daily for 5/21 (23,8%). Developed adaptation mechanisms: 10/21 (57,1%) drink between each mouthful 9/21 (43%) make voluntary efforts of vomiting

Discussion: The study of FD in the children operated for esophageal atresia is very often limited to the analysis of digestive morbidity (esophageal stenosis, GER, dysphagia). Only 2 studies (Schier et al. and Chetcutti et al.) report these FD in spite of their influence on the quality of life.

Conclusion: food disorders are frequent in children operated for esophageal atresia and are insufficiently explored. They justify a systematic research to set up preventive measures and improve the quality of life of these patients.


Key words: esophageal atresia, food behavior