Pal Kamalesh
Department of Surgery, Division of Pediatric Surgery, King Fahad Hospital of the University, College of Medicine, University of Dammam, Al Khobar, Kingdom of Saudi Arabia.
Afr J Paediatr Surg. 2014 Oct-Dec;11(4):280-6. doi: 10.4103/0189-6725.143127.
Tracheo-oesophageal fistula (TEF)/oesophageal atresia is one of the most common and serious congenital malformation. Despite progresses made in the field of early diagnosis, surgical techniques, ventilatory support and control of chest infections; morbidity and mortality still remains quite high and differs a lot from one to another centre particularly in the developing countries; as the availability and the level of neonatal care facilities are different. Associated anomalies play a significant role in dictating the outcome, timing of intervention and even the approach to management. The objectives of this review article is to outline the spectrum of associated anomalies, emphasise need of standardised system of documentation of anomalies, prognosis and management issues that would influence timing and approach of TEF repair.
气管食管瘘（TEF）/食管闭锁是最常见且严重的先天性畸形之一。尽管在早期诊断、手术技术、通气支持及肺部感染控制等领域取得了进展，但发病率和死亡率仍然很高，且不同中心之间差异很大，尤其是在发展中国家，因为新生儿护理设施的可及性和水平各不相同。合并畸形在决定预后、干预时机甚至管理方法方面起着重要作用。这篇综述文章的目的是概述合并畸形的范围，强调对畸形进行标准化记录系统的必要性，以及会影响TEF修复时机和方法的预后及管理问题。
