Welcome to the TRALULALA study

TRALULALA is a nationwide Danish research initiative aiming to ensure evidence-based, high-quality and uniform respiratory care and follow-up for children and adolescents born with esophageal atresia (EA).

Through the TRALULALA cohort, we investigate respiratory symptoms, lung function, imaging and quality of life to better understand the long-term respiratory consequences of EA and associated tracheomalacia (TM).

On our way towards this goal, our research has expanded to address broader questions in pediatric respiratory medicine. AIRWAY explores improved imaging of congenital airway abnormalities, TRALULALA-AZI investigates prevention of respiratory infections in young children with congenital or early-acquired lung disease, and PEARL focuses on physical capacity and exercise in children with respiratory disease.

Together, these projects provide new knowledge and tools to improve how we diagnose, monitor and treat children with airway abnormalities and early structural lung disease.

Our research is built on nationwide collaboration, including the tertiary pediatric pulmonology centers at Rigshospitalet, Odense University Hospital and Aarhus University Hospital, bringing together expertise in rare and complex respiratory diseases in children.

TRALULALA NEWS

📅 September 2025

🫁 TRALULALA at ERS

Marie L. Felby, former research scholar in our group, presented data from the TRALULALA study at the European Respiratory Society (ERS) Congress.

In an oral presentation, she shared our results on multiple breath washout (MBW) in children and adolescents with esophageal atresia, exploring ventilation inhomogeneity and the potential role of MBW in this patient group.

We are proud to see results from TRALULALA being shared and discussed within the international respiratory community.

📅 June 2026

🎤 TRALULALA at INSPiRED Congress in Bologna

Marika N. Rønne presented results from the TRALULALA PILOT study at the INSPIRED Congress in Bologna.

The oral presentation highlighted our first lung function results in children and adolescents with esophageal atresia, providing new insight into respiratory involvement in this patient group.

The presentation generated great interest and valuable discussion with international colleagues working with rare and complex airway disease.

📅 May 2026

💙 Support from Børnelungefonden for the TRALULALA-AZI trial

We are very grateful to Børnelungefonden for supporting the TRALULALA study.

TRALULALA is a national study investigating respiratory health in children and adolescents with esophageal atresia. Through a nationwide cross-sectional study, we are establishing a cohort of children and adolescents with EA and performing detailed assessments of respiratory symptoms, lung function and quality of life.

We had the pleasure of attending Børnelungefonden’s grant ceremony at Diakonissestiftelsen in Frederiksberg – a wonderful evening celebrating pediatric lung research, accompanied by bubbles and a memorable performance by Lungekoret. 🥂🎶

📅 February 2026

🌍 ERNICA webinar – respiratory health in esophageal atresia

As part of the European Reference Network ERNICA, we contributed with a webinar focusing on respiratory health and disease burden in children with esophageal atresia. You can enjoy the WEBINAR HERE!

The webinar brought together clinicians and researchers across Europe to discuss respiratory symptoms, tracheomalacia, lung function and follow-up of children with EA.

The meeting provided an important opportunity to share experiences and strengthen European collaboration within this rare patient group.

📅 January 2026

📢 NEW PUBLICATION: National Study on Esophageal Atresia and Respiratory Morbidity

We are proud to share that a new research article from the Tralulala project has been published:

Incidence of Esophageal Atresia and Associated Respiratory Morbidity in Children: A National Registry Study in Denmark (1998–2018)

This nationwide study is the first of its kind to examine how esophageal atresia is linked to long-term respiratory complications in childhood. Using data from national health registries, the study provides valuable insights into the burden of disease and the need for multidisciplinary follow-up of affected children.

📅 January 2026
🗣️ TRALULALA at DSPAP (Danish Society of Paediatric Pulmonologists)

The TRALULALA team attended the annual meeting of the Danish Society of Paediatric Pulmonologists (DSPAP), where scholar Marie Felby was honoured with the poster award for her presentation of MBW in children with esophageal atresia and tracheomalacia. 

In addition, TRALULALA received continued funding from the Danish Children’s Lung Foundation (Børnelungefonden), supporting the next phases of the project.

The conference provided an important platform to share our work and reinforces the strong national support for advancing research in children with esophageal atresia and tracheomalacia.

📅 Oktober 2025
🗣️ TRALULALA presentations at ERS CONFERENCE in Amsterdam 

The TRALULALA team attended this year’s ERS Congress, where we presented early findings from our pilot study. The presentations was very well received, and the conference provided valuable opportunities to strengthen and expand our international collaborations. We look forward to building on this positive momentum together with our global partners. 

📅 July 2025

🧪 NATIONWIDE CROSS-SECTIONAL STUDY LAUNCHED 

We are pleased to announce the launch of a nationwide cross-sectional study investigating lung symptoms, airway function and quality of life in children born with esophageal atresia.

This phase of the project includes clinical assessments, lung function testing, and patient-reported outcomes, and involves collaboration between multiple pediatric centers across Denmark.

📅 May 2025 

🔍 PILOT STUDY ON LUNG FUNCTIONS TESTING COMPLETED  

We have completed the pilot study assessing various lung function tests in children with esophageal atresia and suspected tracheomalacia.

The study explored feasibility, quality and clinical relevance of spirometry, body plethysmography, multiple breath washout, and cardiopulmonary exercise testing (CPET).

Findings from this pilot will inform the design of the upcoming multicenter cross-sectional study.

→ Full study launch planned for autumn 2025

📅 January 2025 

📄 NEW ARTICLE PUBLISHED!

Former research scholar Helene Holmark published a case study regarding the surgical options for tracheomalacia in Danish children. 

→ Full article here: Tracheomalacia and surgical options: A case series perspective

📅 Oktober 2024

🗣️ REPRESENTATION AT THE ERS CONFERENCE IN VIENNA

TRALULALA was represented by Marika Nathalie Rønne at the European Respiratory Society (ERS) International Congress 2024 in Vienna. 

The congress provided a valuable platform for scientific exchange and collaboration across pediatric pulmonology.