PAPS paperPsychosocial and cognitive consequences of major neonatal surgery
Section snippets
Material and methods
Seventy-two pediatric patients above school age, 37 males and 35 females, all of whom had undergone major surgery during the neonatal period or in early infancy, were enrolled in this study. Their ages ranged between 6 and 17 years. The subjects of the study included the most typical neonatal surgical diseases requiring long-term follow-up: esophageal atresia (EA) in 23 cases, high and intermediate types of ARM in 27, and congenital diaphragmatic hernia (CDH) in 22. The index patients were
Results
Mental retardation was recognized in 14 cases in total (67): 5 cases of EA (20), 5 of ARM (25), and 4 of CDH (22) (Table 1). Although the incidence of MR did not differ among the primary diseases, that in each study group was significantly higher than the 2% to 3% commonly found in the general population [10], [11]. Mental retardation was recognized in 4 cases of Gr. S (34) and in 10 cases of Gr. L (33), for an incidence of 12% and 30%, respectively. The incidence of MR in Gr. L was higher than
Discussion
We pediatric surgeons sometimes notice that patients who have undergone major surgery during the neonatal period or in early infancy have emotional disturbances or interpersonal-relationship disorders. Unlike neurologically impaired patients, however, these conditions are not recognized as a consequence of neonatal surgical stress or as being secondary to the diseases per se, and they are not considered for treatment or handled as disorders. To determine the actual incidence of psychosocial and
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Cited by (37)
Management of Adults With Esophageal Atresia
2023, Clinical Gastroenterology and HepatologyPsychosocial factors affecting quality of life in patients with anorectal malformation and Hirschsprung disease-a qualitative systematic review
2022, Journal of Pediatric SurgeryCitation Excerpt :Children with HSCR avoided foods to manage their bowel habits, missed more school, and experienced more embarrassment and discomfort [2]. Absences caused by ongoing bowel management issues and medical procedures decreased time for regular peer interaction and contributed to poor school performances [2,5,17–21]. In Honduras, 50% of interviewed patients who had a colostomy quit school at an early age due to bullying and peer rejection [22].
Cognitive, academic, and behavioral functioning in school-aged children born with esophageal atresia
2021, Journal of Pediatric SurgeryNeurodevelopmental impairment in children with congenital diaphragmatic hernia: Not an uncommon complication for survivors
2020, Journal of Pediatric SurgeryCitation Excerpt :Of the latter, 26 articles were prospective [3,7,13,14,22,27,31,34,44,46,53–55,57,58,62,63,67,69,72,74,80,83,84,86,88] and 44 were designed to address neurodevelopmental outcome and/or neuroimaging abnormalities in CDH survivors [5,23,24,27–30,32,37–46,48,49,51,53–56,58–63,65,67,71,72,78–84,86,87]. Out of 3541 children with CDH (33 studies), 829 (23%, range 6%–60%) were reported to have NDI (Table 2) [3,5,7,13,21,23,25,26,29,31,34,36,39–41,47,50,52,53,55,61,62,64,68–70,72,73,76,78,83,87,88]. The mean age at NDI assessment varied strongly in these studies as reported in Table 2.
Clinical predictors and prevalence of receiving special preschool/school support in children with repaired esophageal atresia
2018, Journal of Pediatric SurgeryCitation Excerpt :The Swedish school law ensures the provision of special preschool/school support to children in need [17], and using the total number of study participants in preschool/school benefited the statistical analysis of clinical predictors in agreement with statistical expertise. The need to understand psychosocial consequences after major neonatal surgery has been pointed out [9,11]. This study brings new information to the field.
Presented at the Pacific Association of Pediatric Surgeons 44th Annual Meeting, Cancun, Mexico, April 10-14, 2011.