Esophageal atresia and tracheoesophageal fistula: a review of 25 years' experience.
During a 25-year period (1972-1996), 585 patients with esophageal atresia with or without tracheoesophageal fistula were treated at the Department of Pediatric Surgery, SMS Medical College, Jaipur, India. Increasing awareness of the anomaly has led to early detection and referral with fewer pulmonary complications. For purposes of analysis the period has been divided into five phases, with a steady decline in overall mortality observed from 95.4% in phase 1 to 41% in phase V. Although postoperative complications have also shown a declining trend, delay in diagnosis, prematurity, low birth weight, delayed arrival at the surgical centers, sepsis, pulmonary complications including pneumonitis, and inadequate nursing care all continue to contribute substantially to lower the survival in developing countries such as ours.
Sharma
A K
AK
Department of Pediatric Surgery, Sir Padampat Mother and Child Health Institute, S.M.S. Medical College, Jaipur, India.
Shekhawat
N S
NS
Agrawal
L D
LD
Chaturvedi
V
V
Kothari
S K
SK
Goel
D
D
D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D004933:Esophageal Atresia / Q000150:complications / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery*; D005260:Female; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007194:India / Q000453:epidemiology; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000401:mortality / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate / Q000639:trends; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery*; D016896:Treatment Outcome