Journal article Open Access

TREATMENT OF TRACHEOESOPHAGEAL FISTULA AND ESOPHAGEAL ATRESIA; A CLINICAL REVIEW

Dr Rana Khurram Aslam, Dr Huma Ahmed, Dr Nadia Naheed

Aim: To analyze the morbidity and mortality of 38 patients with variants of esophageal atresia and tracheoesophageal fistula treated.

Study design: This is a retrospective study held in the Pediatric Unit-II of Services Hospital Lahore for one-year duration from December 2019 to December 2020. Data was collected from hospital files.

Methodology: The history of 38 patients with esophageal atresia and tracheoesophageal fistula was reviewed.

Results: The mean birth weight was 2.5 kg and the mean gestational age was 38 weeks (range 30 to 38 weeks). The risk classification was based on Waterston's classification and consisted of 18 'A' cases, 12 'B' cases and 8 'C' cases. Many patients have experienced associated abnormalities including heart, skeletal, neurological, and renal and anorectal defects. Anastomotic leakage was found in 8 patients (21.05%), sepsis in 12 (13.5%), and pneumothorax in 3 (7.8%).

Conclusion: The results of this congenital malformation requiring surgical treatment, is less than optimal in our setup. The likely reasons are late presentation, and less than ideal neonatal services.

Keywords: Atresia, fistula, sepsis, congenital anomalies, thoracotomy.

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