|Year : 1997 | Volume
| Issue : 2 | Page : 55-59
Results of treatment of esophageal atresia.
V Bhatnagar, S Agarwala, M Bajpai, DK Gupta, DK Mitra
Department of Pediatric Surgery, All Institute of Medical Sciences, New Delhi-110029, India
ABSTRACT: The results of treatment have been analyzed in 367 consecutive cases of esophageal atresia (EA) with or without tracheo-esophageal fistula (TEF) over a period of 16 years (1976-1991) with respect to type of anomaly, Waterston's groups, gestational age, age at admission, weight, temperature and pneumonitis. Details of outcome were not available in 26 patients between 1976 and 1979; the results of treatment have been analyzed in 341 cases after 1980. Ninety per cent of the patients had EA with distal TEF. Survival was directly related to Waterston's group, gestational age, weight, temperature and absence of pneumonitis. None of the babies with core temperature less than 35 degree C survived. Survival was not determined by age at admission. Despite improved survival rates in recent years, the overall survival does not compare favourably with those reported from developed countries. The factors resulting in poorer results have been analyzed and remedial measures suggested.
Department of Pediatric Surgery, All Institute of Medical Sciences, New Delhi-110029
Source of Support: None, Conflict of Interest: None
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