Document Detail


Surgical problems in patients with VATER-associated anomalies.
MedLine Citation:
PMID:  6502426     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From 1960 through 1980, 14 patients with esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) with two or more other associated anomalies of VATER have been seen. Seventy percent of patients were preterm or low in birth weight. In addition to the esophageal abnormality, vertebral anomalies were found in 7 patients, anorectal anomalies in 11, limb anomalies in 9 and renal anomalies in 9 patients. Three patients had associated duodenal atresia and 4 had cardiac anomaly. Eight patients are dead, 5 are living, and 1 is lost to follow-up. Six of the eight deaths occurred during 1960 to 1970. Preliminary gastrostomy was done in all patients. Primary esophageal repair was carried out in 9 patients--5 died and 4 survived. Three patients had delayed esophageal repair and two of these patients survived. Cervical esophagostomy was done in one patient with EA without TEF after unsuccessful repeated bouginage for elongation of the upper esophageal pouch. Three of the survivors showed growth retardation--below 5th percentile. Aggressive nutritional support and management of chronic problems related to the anomalies are important.
Authors:
T Muraji; G H Mahour
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  19     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1984 Oct 
Date Detail:
Created Date:  1984-12-26     Completed Date:  1984-12-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  550-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / mortality,  surgery*
Esophageal Atresia / surgery*
Extremities / surgery
Female
Follow-Up Studies
Humans
Infant, Newborn
Infant, Small for Gestational Age
Kidney / abnormalities,  surgery
Limb Deformities, Congenital
Male
Rectum / abnormalities,  surgery
Spine / abnormalities,  surgery
Tracheoesophageal Fistula / surgery

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


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