Title :

Oesophageal atresia

Author(s) :

Van Lennep, Marinde [Auteur]
Singendonk, Maartje M. J. [Auteur]
Dall''oglio, Luigi [Auteur]
Gottrand, fréderic [Auteur]
Lille Inflammation Research International Center (LIRIC) - U995
Krishnan, Usha [Auteur]
Terheggen-Lagro, Suzanne W. J. [Auteur]
Omari, Taher I. [Auteur]
Benninga, Marc A. [Auteur]
Van Wijk, Michiel P. [Auteur]

Journal title :

Nature reviews Disease primers

Abbreviated title :

Nat Rev Dis Primers

Volume number :

5

Pages :

26

Publication date :

2019-04-18

ISSN :

2056-676X

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Oesophageal atresia (EA) is a congenital abnormality of the oesophagus that is caused by incomplete embryonic compartmentalization of the foregut. EA commonly occurs with a tracheo-oesophageal fistula (TEF). Associated ...
Show more >Oesophageal atresia (EA) is a congenital abnormality of the oesophagus that is caused by incomplete embryonic compartmentalization of the foregut. EA commonly occurs with a tracheo-oesophageal fistula (TEF). Associated birth defects or anomalies, such as VACTERL association, trisomy 18 or 21 and CHARGE syndrome, occur in the majority of patients born with EA. Although several studies have revealed signalling pathways and genes potentially involved in the development of EA, our understanding of the pathophysiology of EA lags behind the improvements in surgical and clinical care of patients born with this anomaly. EA is treated surgically to restore the oesophageal interruption and, if present, ligate and divide the TEF. Survival is now ~90% in those born with EA with severe associated anomalies and even higher in those born with EA alone. Despite these achievements, long-term gastrointestinal and respiratory complications and comorbidities in patients born with EA are common and lead to decreased quality of life. Oesophageal motility disorders are probably ubiquitous in patients after undergoing EA repair and often underlie these complications and comorbidities. The implementation of several new diagnostic and screening tools in clinical care, including high-resolution impedance manometry, pH-multichannel intraluminal impedance testing and disease-specific quality of life questionnaires now provide better insight into these problems and may contribute to better long-term outcomes in the future.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Collections :

• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286

Submission date :

2024-01-30T10:26:36Z
2024-02-06T09:42:31Z