Feeding disorders in children with oesophageal atresia: a cross-sectional study

IntroductionWith advances in surgical and neonatal care, the survival of patients with oesophageal atresia (OA) has improved over time. Whereas a number of OA-related conditions (delayed primary anastomosis, anastomotic stricture and oesophageal dysmotility) may have an impact on feeding development...

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Published in:	Archives of disease in childhood Vol. 107; no. 1; pp. 52 - 58
Main Authors:	Pham, Aurélie, Ecochard-Dugelay, Emmanuelle, Bonnard, Arnaud, Le Roux, Enora, Gelas, Thomas, Rousseau, Véronique, Thomassin, Nadège, Cabon-Boudard, Isabelle, Nicolas, Audrey, Guinot, Audrey, Rebeuh, Julie, Le Mandat, Aurélie, Djeddi, Djamal-Dine, Fouquet, Virginie, Boucharny, Aurélie, Irtan, Sabine, Lemale, Julie, Comte, Aurélie, Bridoux-Henno, Laure, Dupont-Lucas, Claire, Dimitrov, Georges, Turquet, Anne, Borderon, Corinne, Pelatan, Cécile, Chaillou Legault, Emilie, Jung, Camille, Willot, Stéphanie, Montalva, Louise, Mitanchez, Delphine, Gottrand, Frederic, Bellaiche, Marc
Format:	Journal Article
Language:	English
Published:	England BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01-01-2022 BMJ Publishing Group LTD BMJ Publishing Group
Subjects:	Anastomosis Anastomosis, Surgical - methods Birth weight Body Weight Child Health Child, Preschool Children Cohort Studies Comorbidity Congenital diseases Cross-Sectional Studies Eligibility Enteral Nutrition - methods Esophageal Atresia - epidemiology Esophageal Atresia - therapy Esophagus Failure to thrive Feeding Feeding and Eating Disorders - epidemiology Feeding and Eating Disorders - therapy Female Fistula Food France - epidemiology gastroenterology Gestational age growth Hospitals Human health and pathology Humans Infant Life Sciences Male Neonates neonatology Occupational therapy Original research Ostomy Patients Pediatrics Population Postoperative Complications - epidemiology Prevalence Questionnaires Statistical Analysis Steroids Tissues and Organs France Canada Montreal Quebec Canada neonatology growth gastroenterology occupational therapy
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Summary:	IntroductionWith advances in surgical and neonatal care, the survival of patients with oesophageal atresia (OA) has improved over time. Whereas a number of OA-related conditions (delayed primary anastomosis, anastomotic stricture and oesophageal dysmotility) may have an impact on feeding development and although children with OA experience several oral aversive events, paediatric feeding disorders (PFD) remain poorly described in this population. The primary aim of our study was to describe PFD in children born with OA, using a standardised scale. The secondary aim was to determine conditions associated with PFD.MethodsThe Feeding Disorders in Children with Oesophageal Atresia Study is a national cohort study based on the OA registry from the French National Network. Parents of children born with OA between 2013 and 2016 in one of the 22 participating centres were asked to complete the French version of the Montreal Children’s Hospital Feeding Scale.ResultsOf the 248 eligible children, 145 children, with a median age of 2.3 years (Q1–Q3 1.8–2.9, min–max 1.1–4.0 years), were included. Sixty-one children (42%) developed PFD; 13% were tube-fed (n=19). Almost 40% of children with PFD failed to thrive (n=23). The presence of chronic respiratory symptoms was associated with the development of PFD. Ten children with PFD (16%) had no other condition or OA-related complication.ConclusionPFD are common in children with OA, and there is no typical profile of patients at risk of PFD. Therefore, all children with OA require a systematic screening for PFD that could improve the care and outcomes of patients, especially in terms of growth.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0003-9888 1468-2044
DOI:	10.1136/archdischild-2020-320609