Esophageal Atresia: Recent Five Years’ Mortality and Morbidity



Goodarzi M¹ ; Khazaei HA² ; Ashjaei B³ ; Ghavami M³ ; Mollaeian M⁴ ; Bigdeli N³ ; Talebi A³ ; Parvizizadeh A³ ; Badfar G⁵ ; Soltani AE¹ ; Nahvi A⁶ ; Mehrabi V³ ; Nahvi H³ Show Affiliations
Source: Acta Medica Iranica Published:2018

Abstract

Esophageal atresia (EA) is a rare congenital anomaly that may be isolated or associated with other anomalies requiring prompt medical and surgical planning for optimal result. This study was conducted to show our recent experience on the outcome of treated patients in two hospitals affiliated to Tehran University of Medical Sciences (TUMS). From January 2008 to May 2013 records of 43 neonates patients (23 male) with EA admitted in 2 children centers and all related data including demographic, diagnostic associated anomalies, surgical approaches, birth weight, mortality, and complications were collected. Inability of feeding and swallowing was the most common symptoms (in 90,6%), associated CHD (44%), and Type C (EA) was the most common type of EA observed in 86% patients, The mortality rate was 4.7% and most common complication was anastomotic stricture (AS) in 60% of patients. Our study showed that despite improvements in management and survival of an infant with (EA), still sepsis, aspiration pneumonia, prematurity, and low birth weight and severe Congenital Heart Disease (CHD) were independent etiology of death and birth weight < 2.500 gr has a significant effect on the occurrence of postoperative complications. © 2018 Tehran University of Medical Sciences. All rights reserved.