Document Detail


An 18-year experience of tracheoesophageal fistula and esophageal atresia.
MedLine Citation:
PMID:  21189942     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To determine the clinical manifestations and outcomes of patients with tracheoesophageal fistula (TEF) and esophageal atresia (EA) born at a single neonatal intensive care unit.
METHODS: A retrospective analysis was conducted for 97 patients with confirmed TEF and EA who were admitted to the neonatal intensive care unit between 1990 and 2007.
RESULTS: The rate of prenatal diagnosis was 12%. The average gestational age and birth weight were 37(+2) weeks and 2.5±0.7 kg, respectively. Thirty-one infants were born prematurely (32%). Type C was the most common. The mean gap between the proximal and distal esophagus was 2 cm. Esophago-esophagostomy was performed in 72 patients at a mean age of 4 days after birth; gastrostomy or duodenostomy were performed in 8 patients. Forty patients exhibited vertebral, anorectal, cardiac, tracheoesophageal, renal, limb (VACTERL) association with at least 2 combined anomalies, and cardiac anomaly was the most common. The most common post-operative complications were esophageal stricture followed by gastroesophageal reflux. Balloon dilatation was performed for 1.3 times in 26 patients at a mean age of 3 months. The mortality and morbidity rates were 24% and 67%, respectively, and the most common cause of death was sepsis. The weight of approximately 40% patients was below the 10th percentile at 2 years of age.
CONCLUSION: Mortality and morbidity rates of patients with TEF and EA are high as compared to those of infants with other neonatal surgical diseases. Further efforts must be taken to reduce mortality and morbidity and improve growth retardation.
Authors:
Juhee Seo; Do Yeon Kim; Ai Rhan Kim; Dae Yeon Kim; Seong Chul Kim; In Koo Kim; Ki Soo Kim; Chong Hyun Yoon; Soo Young Pi
Publication Detail:
Type:  Journal Article     Date:  2010-06-23
Journal Detail:
Title:  Korean journal of pediatrics     Volume:  53     ISSN:  2092-7258     ISO Abbreviation:  Korean J Pediatr     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-12-30     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101215374     Medline TA:  Korean J Pediatr     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  705-10     Citation Subset:  -    
Affiliation:
Department of Pediatrics, Ulsan University College of Medicine, Asan Medical Center, Children's Hospital, Seoul, Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  International travel of Korean children and Dengue fever: A single institutional analysis.
Next Document:  Analysis of reports on orphan lung diseases in Korean children.