Outcomes in esophageal atresia and tracheoesophageal fistula
| Autor: | David E. Konkin, Eric M. Webber, Geoffrey K. Blair, Wael A O’Hali |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Patient demographics Fundoplication Tracheoesophageal fistula Classification scheme Broadcast control channel Postoperative Complications Prognostic classification medicine Humans Abnormalities Multiple Esophageal Atresia Survival rate business.industry Infant Newborn Reflux General Medicine Prognosis medicine.disease Surgery Survival Rate Treatment Outcome Atresia Pediatrics Perinatology and Child Health Female business Tracheoesophageal Fistula |
| Zdroj: | Journal of Pediatric Surgery. 38:1726-1729 |
| ISSN: | 0022-3468 |
| Popis: | The purpose of this analysis was to investigate outcomes in newborns with esophageal atresia (EA) or tracheoesophageal fistula (TEF) with respect to prognostic classifications and complications.Charts of all 144 infants with EA/TEF treated at British Columbia Children's Hospital (BCCH) from 1984 to 2000 were reviewed. Patient demographics, frequency of associated anomalies, and details of management and outcomes were examined.Applying the Waterston prognostic classification to our patient population, survival rate was 100% for class A, 100% for class B, and 80% for class C. The Montreal classification survival rate was 92% for class I and 71% for class II (P =.08). Using the Spitz classification, survival rate was 99% for type I, 84% for type II, and 43% for type III (P.05). The Bremen classification survival rate was 95% "without complications" and 71% "with complications." Complications included stricture (52%), gastroesophageal reflux (31%), anastomotic leakage (8%), recurrent fistula (8%), and pneumonia (6%). Seventeen patients underwent fundoplication for gastroesophageal reflux, 16 pre-1992 and one post-1992.Comparing the major prognostic classifications, the Spitz classification scheme was found to be most applicable. In our institution, the trend in management of gastroesophageal reflux after repair of EA/TEF has moved away from fundoplication toward medical management. |
| Databáze: | OpenAIRE |
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