Surgical advances in the fetus and neonate: esophageal atresia.
This article focuses on selected topics in the diagnosis and management of patients with esophageal atresia (EA) with or without tracheoesophageal fistula. The current status of prenatal diagnosis and recent advances in surgical techniques, including thoracoscopic repair for short-gap EA and tension-induced esophageal growth for long-gap EA, are reviewed. Although no consensus exists among pediatric surgeons regarding the role of these procedures in the treatment of EA, one can reasonably expect that, as they evolve, their application will become more widespread in this challenging patient population.
Department of Surgery, Fetal Diagnosis and Treatment Center, C.S. Mott Children's and Von Voigtlander Women's Hospital, University of Michigan Medical School, 1540 East Hospital Drive, SPC 4211, Ann Arbor, MI 48109, USA. shaunkun@umich.edu
Shaun M
SM
Kunisaki
John E
JE
Foker
D002648:Child; D013505:Digestive System Surgical Procedures / Q000379:methods; D004933:Esophageal Atresia / Q000175:diagnosis* / Q000196:embryology / Q000601:surgery; D005260:Female; D005333:Fetus / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D013906:Thoracoscopy / Q000379:methods*; D014138:Tracheoesophageal Fistula / Q000601:surgery*; D016216:Ultrasonography, Prenatal