Prevalence of Malnutrition and Feeding Difficulties in Children With Esophageal Atresia.

Objectives: Growth and feeding problems have been described in children with Esophageal Atresia (EA). Ongoing gastrointestinal and respiratory complications such as Gastroesophageal Reflux Disease (GERD), esophageal dysmotility, strictures and respiratory infections may contribute. The aim of the study was to document the prevalence of malnutrition and feeding difficulties and examine predictive factors which may influence feeding and growth in children attending a multidisciplinary EA clinic in Sydney Australia. Methods: A retrospective review of 75 children, aged 0-16 years, who attended a multidisciplinary EA clinic between 2011 and 2014. Data on demographics, comorbidities, nutrition and mealtime behaviours were collected from their initial clinic appointment. Factors that may impact on growth and mealtime behaviours were identified and analysed. Results: Nine percent of children were malnourished and nine percent were stunted. Infants, children with prior fundoplication, at risk of aspiration or those who had surgery in the first year of life additional to EA repair were significantly more likely to be malnourished (p

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