An 18-year experience of tracheoesophageal fistula and esophageal atresia
PurposeTo determine the clinical manifestations and outcomes of patients with tracheoesophageal fistula (TEF) and esophageal atresia (EA) born at a single neonatal intensive care unit.MethodsA retrospective analysis was conducted for 97 patients with confirmed TEF and EA who were admitted to the neo...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Pediatric Society
2010-06-01
|
| Series: | Korean Journal of Pediatrics |
| Subjects: | |
| Online Access: | http://kjp.or.kr/upload/pdf/kjped-53-705.pdf |
| _version_ | 1811322618543865856 |
|---|---|
| author | 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 |
| author_facet | 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 |
| author_sort | Juhee Seo |
| collection | DOAJ |
| description | PurposeTo determine the clinical manifestations and outcomes of patients with tracheoesophageal fistula (TEF) and esophageal atresia (EA) born at a single neonatal intensive care unit.MethodsA 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.ResultsThe 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.ConclusionMortality 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. |
| first_indexed | 2024-04-13T13:39:31Z |
| format | Article |
| id | doaj.art-b71760e68eb346b5ab006add3c4edd40 |
| institution | Directory Open Access Journal |
| issn | 1738-1061 2092-7258 |
| language | English |
| last_indexed | 2024-04-13T13:39:31Z |
| publishDate | 2010-06-01 |
| publisher | Korean Pediatric Society |
| record_format | Article |
| series | Korean Journal of Pediatrics |
| spelling | doaj.art-b71760e68eb346b5ab006add3c4edd402022-12-22T02:44:41ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582010-06-0153670571010.3345/kjp.2010.53.6.7052010530606An 18-year experience of tracheoesophageal fistula and esophageal atresiaJuhee Seo0Do Yeon Kim1Ai Rhan Kim2Dae Yeon Kim3Seong Chul Kim4In Koo Kim5Ki Soo Kim6Chong Hyun Yoon7Soo Young Pi8Department of Pediatrics, Ulsan University College of Medicine, Asan Medical Center, Children's Hospital, Seoul, Korea.Department of Pediatrics, Ulsan University College of Medicine, Asan Medical Center, Children's Hospital, Seoul, Korea.Division of Neonatology, Ulsan University College of Medicine, Asan Medical Center, Children's Hospital, Seoul, Korea.Division of Pediatric Surgery, Ulsan University College of Medicine, Asan Medical Center, Children's Hospital, Seoul, Korea.Division of Pediatric Surgery, Ulsan University College of Medicine, Asan Medical Center, Children's Hospital, Seoul, Korea.Division of Pediatric Surgery, Ulsan University College of Medicine, Asan Medical Center, Children's Hospital, Seoul, Korea.Division of Neonatology, Ulsan University College of Medicine, Asan Medical Center, Children's Hospital, Seoul, Korea.Division of Pediatric Radiology, Ulsan University College of Medicine, Asan Medical Center, Children's Hospital, Seoul, Korea.Division of Neonatology, Ulsan University College of Medicine, Asan Medical Center, Children's Hospital, Seoul, Korea.PurposeTo determine the clinical manifestations and outcomes of patients with tracheoesophageal fistula (TEF) and esophageal atresia (EA) born at a single neonatal intensive care unit.MethodsA 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.ResultsThe 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.ConclusionMortality 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.http://kjp.or.kr/upload/pdf/kjped-53-705.pdfTracheoesophageal fistulaEsophageal atresiaVACTERL associationMortalityMorbidityGrowth |
| spellingShingle | 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 An 18-year experience of tracheoesophageal fistula and esophageal atresia Korean Journal of Pediatrics Tracheoesophageal fistula Esophageal atresia VACTERL association Mortality Morbidity Growth |
| title | An 18-year experience of tracheoesophageal fistula and esophageal atresia |
| title_full | An 18-year experience of tracheoesophageal fistula and esophageal atresia |
| title_fullStr | An 18-year experience of tracheoesophageal fistula and esophageal atresia |
| title_full_unstemmed | An 18-year experience of tracheoesophageal fistula and esophageal atresia |
| title_short | An 18-year experience of tracheoesophageal fistula and esophageal atresia |
| title_sort | 18 year experience of tracheoesophageal fistula and esophageal atresia |
| topic | Tracheoesophageal fistula Esophageal atresia VACTERL association Mortality Morbidity Growth |
| url | http://kjp.or.kr/upload/pdf/kjped-53-705.pdf |
| work_keys_str_mv | AT juheeseo an18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT doyeonkim an18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT airhankim an18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT daeyeonkim an18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT seongchulkim an18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT inkookim an18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT kisookim an18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT chonghyunyoon an18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT sooyoungpi an18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT juheeseo 18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT doyeonkim 18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT airhankim 18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT daeyeonkim 18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT seongchulkim 18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT inkookim 18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT kisookim 18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT chonghyunyoon 18yearexperienceoftracheoesophagealfistulaandesophagealatresia AT sooyoungpi 18yearexperienceoftracheoesophagealfistulaandesophagealatresia |