Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2020 , Vol 11, Issue 2
Esophageal Atresia: Single Surgeon, Single Center Experience and Results
Mustafa Okumuş1
1Yeni Yüzyıl Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, İstanbul, Türkiye DOI : 10.31067/0.2020.264 Objective: Esophageal atresia, one of the index cases of pediatric surgery clinics, is still of particular importance. A multidisciplinary approach, a well-equipped clinic and surgical experience are required for successful results. Although it is often done in large training hospitals, we aimed to show that satisfactory results can be obtained in any specialized hospital.

Material and Method: Medical records of infants with repaired esophageal atresia from 2007 to 2017 were reviewed.

Results: A total of 29 patients were included in the study. The primary anastomosis was performed in 28 of 29 patients. The median follow-up was 48.5 months. The overall survival rate was 89.6%. Incidence of anastomotic leakage was 17.8%, anastomotic stricture 50% (33.3% within the first year). Recurrent fistula and vocal cord paresis were not revealed. Trans-anastomotic stent and chest drain were routinely used. The mean gestational age was found to be 36.2±2.4 and the mean weight was 2470±687 grams. There were 4 patients with very low birth weight (<1500 g). The cardiac anomaly was detected in 15 patients (51.7%) and VACTERL syndrome was detected in 4 patients.

Conclusions: Great advances in diagnosis and treatment are provided related to the multidisciplinary approach. Although the treatment of esophageal atresia could be performed in large training hospitals up to date, we think that it can be successfully treated in other hospitals with adequate infrastructure. Keywords : Esophageal atresia, Tracheoesophageal fistula