Esophageal Atresia Clinical Trial
Official title:
Examination of the Cardiorespiratory Performance Capacity and Pulmonary Microbiome in Patients Following Surgical Repair of Esophageal Atresia
The majority of the clinical research on esophageal atresia focuses on the upper
gastrointestinal tract. However, the trachea and the lung are also affected in many of these
children, so that a lifelong pulmonary impairment may result. The importance of respiratory
function in the context of follow-up of these patients has therefore been increasingly
recognized in recent years. Scientific work has shown significantly, that patients following
esophageal atresia repair develop respiratory symptoms more frequently than the normal
population. Mild impairment of the pulmonary function in adolescence and adulthood was
demonstrated in some studies, but to date, there is no exact idea about the relationship
between early childhood disease progression and later pulmonary impairment. Only a few
scientific papers have dealt with the effect of impaired pulmonary function on the physical
capacity of these adolescents and adults. Most of these studies show small case numbers,
inconclusive stress tests, and divergent results.
The aim of this prospective study is to investigate the cardiopulmonary performance capacity
and the pulmonary microbiome of adolescent and adult patients with corrected esophageal
atresia and to compare the results with a control group. Another focus of the investigators
is on the composition of the pulmonary microbiome of the participants. Changes of the
pulmonary microbiome and the influence on the cardio-pulmonary performance capacity have not
yet been investigated. Furthermore, it should be investigated whether the treatment measures
and a complicated disease course in the neonatal period have long-term effects on lung
function, exercise capacity and composition of the microbiome in the lungs.
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