Cineradiographic evaluation of postoperative patients with esophageal atresia and tracheoesophageal fistula

Esophageal dysmotility is a common occurrence after successful repair of es ophageal atresia (EA) and tracheoesophageal fistula (TEF). The etiology of this motility disorder, however, remains controversial. Cine-barium esophag ograms were performed in 25 survivors of EA/TEF at a mean age of 30.5 month s. A clinical evaluation was done at the same time and the results were cla ssified as "excellent", "good", and "fair". The study revealed that 88% of patients had dysmotile esophageal segments and segmental contractions. Norm al peristalsis was seen in only 16% of patients and 64% showed to-and-fro m ovements. The bolus transit time was delayed in 60%. The clinical status of these patients correlated well with the cineradiographic findings. Thus, a bnormal motility of the esophagus, which may be inherent, exists in postope rative survivors of EA/TEF and may be responsible for the clinical status o f these patients.