Esophageal Atresia : Six-year Experience with 105 Cases

Authors

  • Maitree Anuntkosol Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok, Thailand
  • Sukawat Watanatittan Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok, Thailand
  • Rangsan Niramis Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok, Thailand
  • Tongkao Rattanasuwan Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok, Thailand
  • Veera Buranakitjaroen Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok, Thailand

Abstract

Background: Care of infants with esophageal atresia has generally been improved. Data from previous review of 87 cases treated over a 10-year period (1983-1992) formed the basis for this follow-on study.

Materials and Methods: A retrospective study of 105 infants with esophageal atresia admitted to the Children's Hospital, Bangkok, during a 6-year period (1993-1998) was made.

Results: The incidence was 1.2 : 10,000 live births. The most common type, esophageal atresia with distal tracheoesophageal fistula, was noted in 90 percent of cases. Risk factors influenced against survival included birth weight below 2,000 grams and cardiac anomalies. Associated anomalies were detected in 65 percent of cases. Primary repair of the esophagus was done in 21 patients, while delayed repair was done in 57 infants. Esophageal replacement was necessary in 3 cases. The most frequent postoperative complication was atelectasis. The overall mortality rate was 59 percent.

Conclusion: Results from this current review were comparable with those of previous study. No significant improvement was discerned since the majority of patients were in poor-risk group. More effort has been made in detecting associated anomalies.

References

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Published

2000-12-28

How to Cite

1.
Anuntkosol M, Watanatittan S, Niramis R, Rattanasuwan T, Buranakitjaroen V. Esophageal Atresia : Six-year Experience with 105 Cases. Thai J Surg [Internet]. 2000 Dec. 28 [cited 2024 Nov. 23];21(4):125-8. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243335

Issue

Vol. 21 No. 4 (2000): October - December

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.