[Esophageal atresia and malformative association. Clinical contribution].
OBJECTIVE
Esophageal atresia (EA) is a congenital malformation with an incidence of 1/3,000-3,500 live birth, due to anomalies of the foregut. Although an interstitial deletion of chromosome 17 (q22q23.3) has been identified, the etiology seems to be multifactorial and not only genetic. The aim of this retrospective study is to evaluate the association of EA with chromosomal pathologies and/or malformation syndromes.


METHODS
The authors report 18 cases of EA admitted to the UTIN of the Pediatric Department, University of Catania, between January 1998 and January 2001, and discuss the phases of preoperative stabilization, the operation, postoperative complications and the follow-up at 12 months.


RESULTS
The results obtained concerning the association of EA with chromosomal diseases and malformation syndromes are described in the ''Results'' section of the paper.


CONCLUSIONS
The results obtained, notwithstanding the low number of patients, show that the association of EA with chromosomal pathologies and malformation syndromes is relevant both from a numerical and prognostic point of view in comparison to the data published in the literature.
Smilari
P
P
Unità di Terapia Intensiva e Subintensiva Neonatale (UTIN), Università degli Studi di Catania, Azienda Policlinico, Catania.
La Spina
M
M
Salvo
V
V
Romeo
M G
MG
Sanges
G
G
D000015:Abnormalities, Multiple; D002869:Chromosome Aberrations; D004314:Down Syndrome / Q000150:complications; D004933:Esophageal Atresia / Q000145:classification / Q000150:complications* / Q000000981:diagnostic imaging / Q000235:genetics / Q000601:surgery*; D005500:Follow-Up Studies; D005542:Forearm / Q000002:abnormalities; D005865:Gestational Age; D006330:Heart Defects, Congenital / Q000150:complications; D006801:Humans; D007231:Infant, Newborn; D007668:Kidney / Q000002:abnormalities; D011183:Postoperative Complications; D011379:Prognosis; D011708:Pylorus / Q000002:abnormalities; D011859:Radiography; D012189:Retrospective Studies; D013577:Syndrome; D013771:Tetralogy of Fallot / Q000150:complications; D013997:Time Factors; D016896:Treatment Outcome