Abstract
A retrospective study was carried out in 110 patients with esophageal atresia seen at the Sophia Children's Hospital, Rotterdam, from 1975 to 1984. Special attention was paid to post-operative morbidity in view of the lack of detailed information concerning this aspect in the literature. Of the 87 surviving patients, 77 had a primary end-to-end anastomosis. The experience with these 77 patients is reviewed and discussed with reference to the literature. Gastroesophageal reflux seems to be the major postoperative complication and a contributing factor to other serious conditions. Early detection and treatment of gastroesophageal reflux may prevent some of these conditions.
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References
Andrieu-Guitrancourt J, Tychyj J, Ensel J, Dehesdin D (1978) Troubles respiratoires et de déglutition après cure chirurgicale de l'atrésie de l'oesophage. Ann Otolaryngol Chir Cervicofac 95: 445–459
Aprigliano F (1980) Esophageal stenosis in children. Ann Otol Rhinol Laryngol 89: 391–396
Ashcraft KW, Goodwin C, Amoury RA, Holder TM (1977) Early recognition and aggressive treatment of gastro-esophageal reflux following repair of esophageal atresia. J Pediatr Surg 12: 317–321
Atwell AD, Harrison GSM (1980) Observations on the role of esophago-gastrostomy in infancy and childhood with particular reference to the long-term results and operative mortality. J Pediatr Surg 15: 303–309
Boxma M, Molenaar JC (1980) Resultaten van de behandeling van oesophagusatresie. T Kindergeneeskd 48: 65–74
Briceño LI, Grases PJ, Gallego S (1981) Tracheobronchial and pancreatic remnants causing esophageal stenosis. J Pediatr Surg 16: 731–732
Duranceau A, Fisher SR, Flye MW Jones RS, Postlethwait RW, Sealy WC (1977) Motor function of the esophagus after repair of esophageal atresia and tracheoesophageal fistula. Surgery 82: 116–123
Durning RP, Scoles PV, Fox OD (1980) Scoliosis after thoracotomy in tracheoesophageal fistula patients. A follow-up study. J Bone Joint Surg (Am) 62: 1156–1159
Ein SH, Stringer DA, Stephen CA, Shandling B, Simpson J, Filler RM (1983) Recurrent tracheoesophageal fistulas: seventeen-year review. J Pediatr Surg 18: 436–441
Filler RM, Rossello PJ, Lebowitz RL (1976) Life-threatening anoxic spells caused by tracheal compression after repair of esophageal atresia: correction by surgery. J Pediatr Surg 11: 739–748
Fonkalsrud EW (1979) Gastroesophageal fundoplication for reflux following repair of esophageal atresia. Experience with nine patients. Arch Surg 114: 48–51
Gauthier F, Gaudiche O, Baux D, Valayer J (1980) Atrésie de l'oesophage et reflux gastro-oesophagien. Chir Pédiatr 21: 253–256
Gilsanz V, Boechat IM, Brinberg FA, King JD (1983) Scoliosis after thoracotomy for esophageal atresia. AJR 141: 457–460
Hicks LM, Mansfield PB (1981) Esophageal atresia and tracheoesophageal fistula. Review of thirteen years' experience. J Thorac Cardiovasc Surg 81: 358–363
Holder TM, Cloud DT, Lewis JE, Pilling GP (1964) Esophageal atresia and tracheoesophageal fistula. A survey of its members by the surgical section of the American Academy of Pediatrics. Pediatrics 35: 542–549
Jolley SG, Johnson DG, Roberts CC Herbst JJ, Matlack ME, McCombs A, Christian P (1980) Patterns of gastroesophageal reflux in children following repair of esophageal atresia and distal tracheoesophageal fistula. J Pediatr Surg 15: 857–862
Kibel MA (1979) Gastro-oesophageal reflux and failure to thrive in infancy. In: Gellis SS (ed) Gastro-oesophageal reflux. Ross Laboratories, Columbus, Ohio pp 29–42
Lindahl H (1984) Long-term prognosis of successfully operated oesophageal atresia with aspects on physical and psychological development. Z Kinderchir 39: 6–10
Louhimo L, Lindahl H (1983) Esophageal atresia: primary results of 500 consecutively treated patients. J Pediatr Surg 18: 217–229
Meradji M, Van Walleghem J, Vervat D (1974) A radiological study of 63 cases of operated esophageal atresia. Radiol Clin Biol 43: 559–570
Nishina T, Tsuchida Y, Saito S (1981) Congenital esophageal stenosis due to tracheobronchial remnants and its associated anomalies. J Pediatr Surg 16: 190–193
Parker AF, Christie DL, Cahill JL (1979) Incidence and significance of gastroesophageal reflux following repair of esophageal atresia and tracheoesophageal fistula and the need for antireflux procedures. J Pediatr Surg 14: 5–7
Pieretti R, Shandling B, Stephens CA (1974) Resistant esophageal stenosis associated with reflux after repair of esophageal atresia: a therapeutic approach. J Pediatr Surg 9: 355–357
Putnam TC, Lawrence RA, Wood BP Campbell MA, Emmens RW, Brown MR, Klish WJ (1984) Esophageal function after repair of esophageal atresia. Surg Gynecol Obstet 158: 344–348
Shermeta DW, Whitington PF, Seto DS, Haller JA (1977) Lower esophageal sphincter dysfunction in esophageal atresia. Nocturnal regurgitation and aspiration pneumonia. J Pediatr Surg 12: 871–876
Touloukian RJ (1981) Long-term results following repair of esophageal atresia by end-to-side anastomosis and ligation of the tracheoesophageal fistula. J Pediatr Surg 16: 983–988
Whitington PF, Shermeta DW, Seto DSY, Jones L, Hendrix TR (1977) Role of lower esophageal sphincter incompetence in recurrent pneumonia after repair of esophageal atresia. J Pediatr 91: 550–554
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Leendertse-Verloop, K., Tibboel, D., Hazebroek, F.W.J. et al. Postoperative morbidity in patients with esophageal atresia. Pediatr Surg Int 2, 2–5 (1987). https://doi.org/10.1007/BF00173595
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DOI: https://doi.org/10.1007/BF00173595