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Neonatology pp 1281-1294 | Cite as

Esophageal Atresia of Newborns

  • Mario Messina
  • Francesco Molinaro
  • Alfredo Garzi
  • Rossella Angotti
Reference work entry

Abstract

Esophageal atresia includes a group of congenital anomalies characterized as interruption of the continuity of the esophagus combined with or without a persistent communication with the trachea. These congenital malformations occur in 1:2,500–3,000 live births.

Over the last 40 years, there has been a steady improvement in the overall survival rate due to early diagnosis and prompt referral, improvements in preoperative care and diagnosis and treatment of associated anomalies, advances in anesthetic techniques, and sophisticated neonatal intensive care.

There is increasing experience with the thoracoscopic approach to repair esophageal atresia (Brandigi et al., J Siena Acad Sci 5, 2013; Bax and van Der Zee, J Pediatr Surg 37: 192–196, 2002; Rothenberg, J Pediatr Surg 37: 869–872, 2002; Nguyen et al., J Laparoendosc Adv Surg Tech A 16: 174–178, 2006; Krosnar and Baxter, Paediatr Anaesth 15: 541–546, 2005; Rothenberg, Semin Pediatr Surg 14: 2–7, 2005a; Rothenberg, Esophageal atresia and tracheoesophageal fistula. In: Najmaldin et al. (eds) Operative endoscopy and endoscopic surgery in infants and children. Hodder Arnold, London, pp 89–97, 2005b), but this requires advanced skills in minimal invasive surgery.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Mario Messina
    • 1
    • 2
  • Francesco Molinaro
    • 1
    • 2
  • Alfredo Garzi
    • 2
    • 3
  • Rossella Angotti
    • 4
  1. 1.Department of Pediatrics, Obstetrics and Reproductive Medicine, Section of Pediatric SurgeryPoliclinico “Le Scotte”, University of SienaSienaItaly
  2. 2.Department of Medical, Surgical and Neurological SciencesSection of Pediatric Surgery, University of SienaSienaItaly
  3. 3.Università degli Studi di SalernoFiscianoItaly
  4. 4.Department of Pediatrics, Obstetrics and Reproductive Medicine, Section of Pediatric SurgeryUniversity of SienaSienaItaly

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