Management of esophageal atresia.
A total of 303 infants with esophageal atresia and/or tracheoesophageal fistula were treated over 10 years (1980-1989). The overall survival rate was 86.5%. Associated anomalies were identified in 51.8% of patients, the most common being cardiac malformations which affected 24.4% of infants and was responsible for the majority of deaths. The dramatic increase in survival of infants with esophageal atresia in the past half century is due to improvements in pre- and postoperative management, meticulous operative technique to reduce anastomotic complications, and aggressive treatment of associated congenital anomalies.
Spitz
L
L
Hospital for Sick Children, London, United Kingdom.
Kiely
E
E
Brereton
R J
RJ
Drake
D
D
D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D001724:Birth Weight; D004933:Esophageal Atresia / Q000150:complications / Q000601:surgery*; D004940:Esophageal Stenosis / Q000209:etiology; D005260:Female; D005764:Gastroesophageal Reflux / Q000209:etiology; D006330:Heart Defects, Congenital / Q000150:complications; D006801:Humans; D007223:Infant; D008297:Male; D012008:Recurrence; D012307:Risk Factors; D015996:Survival Rate; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000601:surgery*