Diagnosis and Management of Long-term Gastrointestinal Complications in Pediatric Esophageal Atresia/Tracheoesophageal Fistula

被引：0
作者：
Delia O’Shea [1 ]
Elle Quinn [2 ]
William Middlesworth [3 ]
Julie Khlevner [1 ]
机构：
[1] Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, NY
[2] Department of Rehabilitation Medicine, Speech-Language Pathology, NewYork-Presbyterian Hospital, New York, NY
[3] Division of Pediatric Surgery, Department of Surgery, Columbia University Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, NY
来源：
Current Gastroenterology Reports | 2025年 / 27卷 / 1期
关键词：
Dysphagia; eosinophilic esophagitis; Esophageal atresia/tracheoesophageal fistula; Esophageal dysmotility; Esophageal Stricture; Feeding difficulties; Gastroesophageal reflux disease;
D O I：
10.1007/s11894-025-00968-6
中图分类号：
学科分类号：
摘要：
Purpose of Review: Esophageal atresia/tracheoesophageal fistula (EA/TEF) causes gastrointestinal (GI) complications that can begin in infancy and extend into adulthood. The etiology of these is frequently multifactorial, and they can adversely affect feeding, growth, respiratory health, and overall quality of life. This review highlights the importance of early diagnosis, multidisciplinary surveillance, and individualized treatment strategies to effectively manage these complications and improve long-term outcomes for affected children. Recent Findings: Recent studies have focused on the development of evidence-based surveillance protocols to optimally manage the numerous observed EA/TEF-associated digestive complications. Many of these complications stem from the combination of gastroesophageal dysmotility and mechanical obstruction inherent to EA/TEF and its surgical management, and include gastroesophageal reflux disease, feeding difficulties, dysphagia, eosinophilic esophagitis, and pulmonary consequences of aspiration. Summary: Management of GI complications in children with EA/TEF requires careful, multidisciplinary evaluation and treatment, incorporating dietary modifications, feeding therapy, pharmacotherapy, and surgical and endoscopic interventions. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2025.
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