Follow-up of the survivors of congenital diaphragmatic hernia.

Abstract:

INTRODUCTION:Survivors of congenital diaphragmatic hernia have increased with the introduction of new treatment modalities and have been reported to experience ongoing medical morbidity until adulthood. AIM:To describe the long-term functional impact of congenital diaphragmatic repair on the survivors of a single institution cohort of newborns over a 14-year period. METHODS:The follow up medical charts of 39 congenital diaphragmatic hernia survivors treated at a tertiary neonatal intensive care unit, from January 1997 to December 2010, were analyzed. RESULTS:The median age at follow up was 70 (4-162) months. Gastrointestinal sequelae were the most common with 12 (30.7%) patients affected by failure to thrive. Chronic lung disease occurred in 5 (12.8%) patients, neurodevelopmental delay in 5 (12.8%), musculoskeletal sequelae in 6 (15.3%), recurrence of hernia in 4 (10.2%) and 2 (7.6%) were deceased. CONCLUSION:Congenital diaphragmatic hernia survivors are a group of patients that requires long term periodic follow up in a multidisciplinary setting to provide adequate support and improve their quality of life.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Rocha G,Azevedo I,Pinto JC,Guimarães H

doi

10.1016/j.earlhumdev.2011.08.025

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

255-8

issue

4

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(11)00295-7

journal_volume

88

pub_type

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