Current Paediatrics
Volume 11, Issue 4 , Pages 281-285, August 2001

Oesophageal atresia

  • L. Spitz (Nuffield Professor of Paediatric Surgery)

      Affiliations

Institute of Child Health (University College London), 30 Guilford Street, London, WCIN IEH, UK

Abstract 

Although the overall survival rate for infants with oesophageal atresia now exceeds 90%, the condition continues to be responsible for significant morbidity, mainly as a consequence of associated congenital anomalies of which cardiac malformations (29%) are most prominent. A recently revised risk classification comprising very low birth weight (<1500 g) and/or major cardiac defects more accurately predicts survival in the modern era. Early complications following repair include anastomotic leaks, strictures and recurrent fistula, while late complications comprise tracheomalacia causing acute life-threatening attacks, gastrooesophageal reflux, and respiratory and oesophageal motility disorders.

Keywords: oesophageal atresia, tracheo-oesophageal fistula

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  • f1 E-mail: L.spitz@ich.ucl.ac.uk

PII: S0957-5839(01)90187-3

doi:10.1054/cupe.2001.0187

Current Paediatrics
Volume 11, Issue 4 , Pages 281-285, August 2001