A Clinical Review of Esophageal Atresia : One Surgeon's Experience.
- Author:
Sung Sik KIM
1
;
Si Youn RHIM
;
Poong Man JUNG
Author Information
1. Department of Surgery, College of Medicine, Hanyang University, Seoul, Korea. pmjung@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Esophageal atresia
- MeSH:
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
- From:Journal of the Korean Association of Pediatric Surgeons
2008;14(1):12-20
- CountryRepublic of Korea
- Language:Korean
-
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.
