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

Abstract

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 São João 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.

Key words

congenital diaphragmatic hernia - follow‐up - failure to thrive - gastro‐oesophageal reflux - musculoskeletal abnormalities

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