Esophageal atresia(EA) with tracheoesophageal fistula(TEF) is a rare anomaly of neonate and is usually associated with other congenital anomalies. The first report of esophageal atresia with tracheoesophageal fistula was done by Thomas Gibson in
1697.
Following the first successful repair of esophageal atresia and tracheoesophageal fistula by Cameron Haight, in 1914, continuous refinements in management have occurred during the past five decades associated with improvements in surgical
technique,
neonatal anesthesia, ventilatory support, and modern sophisticated neonatal intensive care.
From January 1990 to Aprii 1996, 20 cases of esophageal atresia with tracheoesophageal fistula were diagnosed in St. Prancisco Hospital. There were 12 female and 8 male infants. The most common variant observed was EA with a distal TEF(Gross
classification type C), which occurred in 18 patients. One patient had H-type TEF without EA(Gross classification type E) and one patient had a very rare, isolated double TEF without EA. Associated anomalies were identified in 12 infants(60%).
Modified
Waterson Category A contained 6 infants, B contained 7, C1, contained 5, and C2 contained 2. Among these infants, 17 infants underwent operative procedures. 13 of these infants were performed performed by complete operation. One-and two-staged
end-to-end anastomosis of blind esophagus was performed in 7 and 4 infants, respectively. Fistula division was performed in 2 infants. The overall operative survival rate was 84.6%. There were 3 leakages from anastomotic site of blind esophagus
and
one
leakage from the site of fistula division on H-type TEF.
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