Congenital Diaphragmatic Hernia. The Post-Neonatal Period (Part II)

• Tipo: Artigo em Revista Científica Internacional
• Data: 2008

Autores

Rocha, GM (Autor) Outra; Bianchi, RF (Autor) Outra; Inês Azevedo (Autor) FMUP; Correia Pinto, J (Autor) Outra; Guimarães H (Autor) FMUP

Revista

Título: European Journal of Pediatric Surgery

Vol. 18

Páginas: 307-312

ISSN: 0939-7248

Editora: Thieme

Indexação

ISI Web of Knowledge - 5 Citações

Scopus - 9 Citações

Pubmed / Medline

Classificação Científica

FOS: Ciências médicas e da saúde > Outras ciências médicas

Outras Informações

ID Authenticus: P-003-VRD

DOI: 10.1055/s-2008-1038606

Abstract (EN): Purpose: The aim of this study was to describe the long-term functional impact of congenital diaphragmatic hernia repair on the survivors of a cohort of newborns. Methods: We analysed the multidisciplinary follow-up medical charts of 26 congenital diaphragmatic hernia survivors, treated at the Hospital de Sao Joao neonatal intensive care unit from January 1997 to December 2006. Results: The median age at follow-up was 51 (14-141) months. One (4%) patient had died by the age of three months old. Thirteen (50%) patients presented with at least one sequelae, six (23%) presented with two or more. Gastrointestinal problems were the most prevalent, with 6 (23%) children below the fifth percentile for weight and 3 (12%) with gastro-oesophageal reflux. Respiratory morbidity was present in 4 (15%) patients. Four (15%) patients exhibited neurological problems. No case of sensorineural hearing loss was diagnosed. Other findings included musculoskeletal anomalies (12%), recurrence of hernia (8%) and patch rejection (4%). Conclusion: Congenital diaphragmatic hernia survivors present with ongoing morbidities and mortality during infancy and childhood. They constitute a group of patients who require long-term regular follow-up in a multidisciplinary setting to provide adequate support and improve their quality of life.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 6