Oesophageal atresia with no distal tracheoesophageal fistula: Management and outcomes from a population-based cohort.
<h4>Purpose</h4> <p>To describe the incidence and outcomes to one-year in infants born with oesophageal atresia (OA) with no distal tracheoesophageal fistula within a population cohort.</p> <h4>Method</h4> <p>A prospective multicentre population cohort stud...
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| Format: | Journal article |
| Language: | English |
| Published: |
Elsevier
2016
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| Summary: | <h4>Purpose</h4> <p>To describe the incidence and outcomes to one-year in infants born with oesophageal atresia (OA) with no distal tracheoesophageal fistula within a population cohort.</p> <h4>Method</h4> <p>A prospective multicentre population cohort study was undertaken of all infants born with OA investigating clinical outcomes up to one year following initial surgery. Outcomes of infants with OA and a lower pouch fistula have previously been reported. A subgroup analysis describing the outcomes of infants with OA and no tracheoesophageal fistula, (Type A) and those with only an upper pouch fistula, (Type B) was performed.</p> <h4>Main Results</h4> <p>Twenty-one of 151 infants were diagnosed with Type A or B oesophageal atresia (14%). Fifteen were Type A (71%) and 6 Type B (29%). With the exception of an infant with Type A, who died before reconstruction; all but four infants (all Type B) underwent more than one operation. Median time to delayed primary anastomosis in infants with Type A and Type B was 82 days (75-89 days) (n=7). The median time to oesophageal replacement was 94 days (89-147 days) (n=8). Median length of stay for infants with Type A or B OA from first operation to first discharge was 101 days (31-123 days).</p> <h4>Conclusions</h4> <p>Oesophageal atresia with no distal tracheoesophageal fistula is uncommon. Infants with</p> |
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