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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 28, 2020; 26(12): 1262-1272
Published online Mar 28, 2020. doi: 10.3748/wjg.v26.i12.1262
Published online Mar 28, 2020. doi: 10.3748/wjg.v26.i12.1262
Oesophageal atresia: The growth gap
Isabelle Traini, Steven Thomas Leach, Usha Krishnan, School of Women’s and Children’s Health, University of New South Wales, Sydney, NSW 2052, Australia
Jessica Menzies, Department of Nutrition and Dietetics, Sydney Children’s Hospital, Randwick, NSW 2031, Australia
Jennifer Hughes, Department of Speech Pathology, Sydney Children’s Hospital, Randwick, NSW 2031, Australia
Usha Krishnan, Department of Paediatric Gastroenterology, Sydney Children’s Hospital, Randwick, NSW 2031, Australia
Author contributions: All authors contributed to this paper with literature review and analysis, drafting, critical revision and editing, and approval of the final version.
Conflict-of-interest statement: All authors declare no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Usha Krishnan, FRACP, MBBS, Senior Staff Specialist in Paediatric Gastroenterology, Director of Motility Services, and Director of Oesophageal Atresia Clinic, Department of Paediatric Gastroenterology, Sydney Children’s Hospital, High Street, Randwick, NSW 2031, Australia. usha.krishnan@health.nsw.gov.au
Received: December 12, 2019
Peer-review started: December 12, 2019
First decision: December 30, 2019
Revised: January 22, 2020
Accepted: March 9, 2020
Article in press: March 9, 2020
Published online: March 28, 2020
Peer-review started: December 12, 2019
First decision: December 30, 2019
Revised: January 22, 2020
Accepted: March 9, 2020
Article in press: March 9, 2020
Published online: March 28, 2020
Core Tip
Core tip: Poor growth is an under-recognised yet significant long-term consequence of oesophageal atresia repair. This review highlights that the association between poor growth with younger age and fundoplication in children with oesophageal atresia appears to have the strongest supportive evidence. However, it is difficult to determine the contribution of other factors to growth, such as dysphagia, feeding difficulties, diet, and the microbiota. Early intervention of a dietitian and speech pathologist is warranted, but further research is needed to identify the most important factors related to growth, and effective interventions to maximise the growth outcomes of these children.