Main Topic

Pediatric Surgery International

, Volume 2, Issue 4, pp 216-222

Oesophageal atresia without fistula — anastomosis or replacement?

  • N. A. MyersAffiliated withDepartment of Surgery, Royal Children's Hospital
  • , S. W. BeasleyAffiliated withDepartment of Surgery, Royal Children's Hospital
  • , A. W. AuldistAffiliated withDepartment of Surgery, Royal Children's Hospital
  • , M. KentAffiliated withDepartment of Surgery, Royal Children's Hospital
  • , V. WrightAffiliated withDepartment of Surgery, Royal Children's Hospital
  • , P. ChetcutiAffiliated withDepartment of Surgery, Royal Children's Hospital

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Abstract

At the Royal Children's Hospital, Melbourne, 553 babies with oesophageal atresia and/or tracheo-eesophageal fistula have been admitted during the past 39 years; 36 (6.5%) of these had oesophageal atresia without a tracheo-oesophageal fistula. Definitive surgery was performed in 27 patients: the primary definitive procedure was oesphageal anastomosis in 15 and oesophageal replacement in 12. Aspects of diagnosis and selection of the most appropriate treatment modality are discussed, with the results of treatment presented. Our current policy is to perform an oesphhageal anastomosis whenever possible, and this has been successful in 7 of the last 11 patients.

Key words

Oesophageal atresia Gasless abdomen Oesophageal replacement Long gap