Esophageal atresia and tracheoesophageal fistula: preoperative assessment and reduced mortality.
Ann Thorac Surg, 1979/7;28(1):54-9.
Stothert JC Jr, McBride L, Lewis JE, Danis RK, Barner HB
PMID: 110277
Impact factor: 5.102
Abstract
One hundred twenty-nine infants with esophageal atresia and tracheoesophageal fistula were reviewed from 1955 to 1978. The overall mortality was 38%. Factors associated with the increased mortality include prematurity, pneumonia, and congenital defects other than this anomaly. A classification based on these factors in introduced, which provides the clinician with a prognostic survival rate greater than 90% with only physical examination, chest and abdominal roentgenography, and intravenous pyelography. Postoperative mortality was reduced to 11% in the last five years of the study; this is attributed to the exclusive use of the retropleural approach to the esophagus, more intensive postoperative ventilatory support, and routine use of parenteral nutrition.
MeSH terms
Esophageal Atresia; Humans; Infant Nutritional Physiological Phenomena; Infant, Newborn; Methods; Parenteral Nutrition; Postoperative Care; Postoperative Complications; Prognosis; Respiration, Artificial; Tracheoesophageal Fistula
More resources
EndNote: Download