Long-term outcomes of oesophageal atresia without or with proximal tracheooesophageal fistula - Gross types A and B

Journal of Pediatric Surgery
Antti I KoivusaloMikko P Pakarinen

Abstract

Because of an extended gap between esophageal pouches a variety of methods are employed to treat oesophageal atresia (OA) without (type A) or with (type B) proximal tracheooesophageal fistula. This retrospective observational study describes their single centre long-term outcomes from 1947 to 2014. Of 693 patients treated for OA 68 (9.7%) had type A (n=58, 8.3%) or B (n=10, 1.4%). Hospital records were reviewed. Main outcome measures were survival and oral intake. Nine (13%) patients had early and 10 (15%) delayed primary anastomosis, 30 (44%) underwent reconstruction including colonic interposition (n=13), reversed gastric tube (n=11) and jejunum interposition (n=6), whereas19 (28%) had died without a definite repair. Median follow up was 35 (interquartile range, 7.4-40) years. Thirty-one (63%) of 49 patients with definitive repair survived long term. Survival was 22% for early and 80% for delayed primary anastomosis, 57% for colon interposition, 82% for gastric tube and 84% for jejunum interposition. Gastrooesophageal reflux was most common after gastric tube (80%), dysphagia after colon interposition (50%), and 3 (60%) of 5 survivors with jejunum interposition had permanent feeding ostomy because of neurological disorder. En...Continue Reading

Citations

Oct 30, 2018·The British Journal of Nutrition·Takehiro MichikawaUNKNOWN Japan Environment and Children’s Study Group
Jan 20, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Caroline PardyStefano Giuliani
Aug 17, 2018·Annals of the Royal College of Surgeons of England·A BaggaleyA Botha
Jul 30, 2021·Archives of Disease in Childhood. Fetal and Neonatal Edition·Tal WeissbachEran Kassif

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