J Korean Assoc Pediatr Surg.  2008 Jun;14(1):12-20.

A Clinical Review of Esophageal Atresia : One Surgeon's Experience

• Kim SS
• Rhim SY
• Jung PM

Abstract

From 1979 to 2006, fifty eight patients with esophageal atresia were treated by one pediatric surgeon at Hanyang University Hospital. We analyzed the clinical findings and outcome of these 58 patients. There were 30 males and 28 females. Their mean birth weight was 2,960 +/- 400 g (1,170~4,020 g). The most common type of anomaly was Gross type C (49 patients; 84.5 %). There was no type B. Fifty-two patients underwent definitive surgery. Postoperative complications were as follows: anastomotic leakage in 17 patients (32.7 %), anastomotic site stricture in 15 (28.8 %), gastroesophageal reflux in 10 (19.2 %) and recurrent TEF in 1 (1.9 %). A total of 152 associated anomalies were detected from 48 patients (82.2 %). The cardiovascular system was the most commonly affected (30 patients with 46 anomalies). The VACTERL association was present in 14 patients (24.1 %). Operative mortality was 17.3 % including self-discharge patients after operation.

Keyword

Esophageal atresia

MeSH Terms

Anal Canal
Anastomotic Leak
Birth Weight
Cardiovascular System
Constriction, Pathologic
Esophageal Atresia
Esophagus
Female
Gastroesophageal Reflux
Heart Defects, Congenital
Humans
Kidney
Limb Deformities, Congenital
Male
Postoperative Complications
Spine
Trachea
Anal Canal
Esophagus
Heart Defects, Congenital
Kidney
Limb Deformities, Congenital
Spine
Trachea