The Short to Long Term Surgical Outcomes of Congenital Esophageal Atresia
- VernacularTitle:先天性食道闭锁术后短期-中期疗效评定
- Author:
Zhibo ZHANG
;
Ying HUANG
;
Dajia WANG
;
Pengjun SU
;
Lianying WANG
- Publication Type:Journal Article
- Keywords:
esophageal atresia;
tracheoesophageal fistula
- From:
Journal of China Medical University
2010;(6):478-480
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the short to long term surgical outcomes and treatment experiences of esophageal atresia（EA）.Methods The clinical data of EA inpatients in our hospital from 2006 to 2009 were reviewed retrospectively.The birth weight,main associated anomalies,details of management,complications and outcomes were discussed.Main risk factors were evaluated with major prognostic classification systems.Results Totally 48 consecutive infants with EA were identified from 2006 to 2009,male 33（69%）,female 15（31%）.Mean birth weight was 2 668 g（range 1 700 g to 3 800 g）.All received primary operation.Complications included pneumonia,anastomotic leakage（16%）,tracheoesophageal fistula,incision sepsis（11%）,delayed tracheoesophageal fistula（7%）,stricture（10%）,and gastroesophageal reflux（GER）（67%）.Mortality was 12.5%,mainly due to severe pneumonia and complex cardiac anomalies.Conclusion Most patients with esophageal atresia could be cured after primary operation with excellent outcomes.The main factors for mortality were complex cardiac anomalies,aspiration and pneumonia.The main mid-term complications were GER and stricture.
