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A Clinical Observation on Esolhageal Atresia and Tracheoesophageal Fistula.

Journal of the Korean Pediatric Society 1988;31(6):691-699.
Published online June 30, 1988.
A Clinical Observation on Esolhageal Atresia and Tracheoesophageal Fistula.
In Sang Jeon1, Jung Hwan Choi1, Jeong Kee Seo1, Chong Ku Yun1, Sung Chul Lee2, Kwi Won Park2, Woo ki Lee2
1Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
2Department of Pediatric Surgery, College of Medicine, Seoul National University, Seoul, Korea
선천성 식도폐쇄증 및 기관식도루의 임상적 고찰
전인상1, 최중환1, 서정기1, 윤종구1, 이성철2, 박귀원2, 김우기2
1서울대학교 의과대학 소아과학교실
2서울대학교 의과대학 소아외과학교실
Received: 8 November 1987   • Accepted: 27 January 1988
Abstract
To study the clinical characteristics of esophageal atresia and tracheoesophageal fistula, we carried out a retrospective review on medical records of 39 patients who were diagnosed as that by the operation, autopsy or radiolgy at the department of Pediatrics and Pediatric Surgery, Seoul National University Hospital between January 1980 and June 1987. The results were summarized as follows; 1) Type A was most common (94.8%) among total 39 cases. 2) Esophageal atresia was more frequent in low birth weight infants. But the sex distribution and birth order were not different significantly. 3) The major clinical manifestations were foamy excessive oral secretion, regurgitation, respira- tory difficulty and choking after feeding in order. 4) Clinically suspected cases were confirmed by radiological methods (coiled catheter in chest P-A and esophagography). 5) Esophageal atresia was confirmed within 5 days in 35 cases (89.7%). The occurrence rate of pneumonia was related to the date of diagnosis. 6) Fourteen congenital anomalies were associated in 14 cases (35.9%). They were cardiovascular anomalies (7 cases), imperforated anus (3 cases), gastrointestinal anomaly (1 case), genitourinary anomaly (1 case), musculoskeletal anomaly (1 case) and CNS anomaly (1 case). 7) Postoperation complications were esophageal stricture, pneumonia and esophageal leakge in order. 8) The mortality rate was 30.8%. The birth weight was more important than the accompanying anomlies in mortality. 9) Main causes of death were pneumonia (33.3%), esophageal leakage (16.3%), hyaline membrane disease (8.3%), neonatal apnea (8.3%) and cyanotic congenital heart disease (8.3%).
Key Words: Esophageal Atresia, Tracheoesophageal Fistula


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