All issues > Volume 31(6); 1988

Original Article

J Korean Pediatr Soc. 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

Received: November 8, 1987;  Accepted: January 27, 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%).

Keywords :Esophageal Atresia, Tracheoesophageal Fistula