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End to side operative technic for esophageal atresia with tracheoesophageal fistula

The American Journal of Surgery
Publication Date
DOI: 10.1016/0002-9610(69)90125-1
  • Medicine


Abstract We have presented eight cases of esophageal atresia with distal tracheoesophageal fistula. (Tables II and III.) Our mortality has been nil Table II Operative Results in Eight Patients Results No. of Patients Uncomplicated 6 Complications 2 Anastomotic leak 1 Anastomotic leak and fistula recurrence 1 Cured 7 Cervical esophagostomy 1 Deaths 0 Table III Summary of Data in Eight Patients Having Esophageal Atresia with Fistula between Trachea. Case Sex Weight (gm.) Age on Admission (days) Age at Gastrostomy (days) Age at Tracheoesophageal Fistula Repair (days) Operative Approach I (V.G.) F 2,841 3 (12-3-66) 3 7 Transpleural II (A.B.) F 3,300 1 (1-30-67) 1 1 Transpleural III (P.W.) M 2,100 1 (4-2-67) 1 2 Transpleural IV (S.K.) F 2,670 2 (5-6-67) 3 4 Transpleura V (D.H.) F 3,040 1 (11-10-67) 1 3 Transpleural VI (G.D.) M 2,155 1 (2-14-68) 1 2 Transpleural VII (B.B.) F 1,090 1 (11-13-68) 1 6 (at weight of 1,000 mg) Extrapleural VIII (A.R.) F 3,490 2 (1-21-69) 2 3 Extrapleural and significant morbidity has been limited to two patients, neither one premature. Of the three major complications usually reported, that is leakage, recurrence of fistula, and stenosis, we have seen only the first two in this series. Stenosis has not been a problem: no child has required dilatations during our follow-up period of two years. A combined treatment approach that taxes all pediatric disciplines is briefly outlined.

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