RT Journal Article
SR Electronic
T1 Feeding disorders in children with oesophageal atresia: a cross-sectional study
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP archdischild-2020-320609
DO 10.1136/archdischild-2020-320609
A1 Aurélie Pham
A1 Emmanuelle Ecochard-Dugelay
A1 Arnaud Bonnard
A1 Enora Le Roux
A1 Thomas Gelas
A1 Véronique Rousseau
A1 Nadège Thomassin
A1 Isabelle Cabon-Boudard
A1 Audrey Nicolas
A1 Audrey Guinot
A1 Julie Rebeuh
A1 Aurélie Le Mandat
A1 Djamal-Dine Djeddi
A1 Virginie Fouquet
A1 Aurélie Boucharny
A1 Sabine Irtan
A1 Julie Lemale
A1 Aurélie Comte
A1 Laure Bridoux-Henno
A1 Claire Dupont-Lucas
A1 Georges Dimitrov
A1 Anne Turquet
A1 Corinne Borderon
A1 Cécile Pelatan
A1 Emilie Chaillou Legault
A1 Camille Jung
A1 Stéphanie Willot
A1 Louise Montalva
A1 Delphine Mitanchez
A1 Frederic Gottrand
A1 Marc Bellaiche
YR 2021
UL http://adc.bmj.com/content/early/2021/04/15/archdischild-2020-320609.abstract
AB Introduction With 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.Methods The 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.Results Of 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.Conclusion PFD 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.Data are available upon reasonable request from corresponding author (aurelie.pham@inserm.fr)