Outcomes of esophageal atresia in a tier II referral centre

Bahubali D. Gadgade; Venkatesh M. Annigeri; Gautam Kabbin; Anil Halgeri

doi:10.18203/2349-2902.isj20160251

Authors

Bahubali D. Gadgade Department of Peadiatric Surgery, SDM College of Medical Sciences and Hospital, Sattur, Dharwad, Karnataka, India
Venkatesh M. Annigeri Department of Peadiatric Surgery, SDM College of Medical Sciences and Hospital, Sattur, Dharwad, Karnataka, India
Gautam Kabbin Department of Peadiatrics, SDM College of Medical Sciences and Hospital, Sattur, Dharwad, Karnataka, India
Anil Halgeri Department of Peadiatric Surgery, SDM College of Medical Sciences and Hospital, Sattur, Dharwad, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20160251

Keywords:

Esophageal atresia, Tracheoesophageal fistula, Associated anomalies

Abstract

Background: To study the clinical profile, complications and outcomes of neonates with esophageal atresia (EA) and/or tracheoesophageal fistula (TEF) in a tier II referral centre.

Methods: This is a retrospective study of 54 patients with EA and/or TEF from 2008 to 2014.

Results: Fifty four cases of EA/ TEF which were reviewed, 32 (59.26%) were male and 22 (40.74%) were female patients. The mean birth weight was 2.38 kg. 39(72.22%) babies were born at term and 15(27.78%) were preterm. Most common anatomical variant was type C. Most common associated anomaly was cardiac, seen in 8 patients (14.81%). Post operative barium study showed minor leaks in 7 patients. 22 of 54 patients (40.74%) died.

Conclusions: Early recognition of symptoms and early referral to hospitals would improve the outcomes of neonates with EA/TEF. Sepsis remains the leading causes of mortality, and delayed referral with onset of pneumonia contribute to sepsis.

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