Bode Christopher Olusanjo, Ademuyiwa Adesoji Oludotun
Department of Surgery, Paediatric Surgery Unit, College of Medicine, University of Lagos, Idi Araba, Lagos, PMB 12003, Nigeria.
Afr J Paediatr Surg. 2014 Oct-Dec;11(4):366-70. doi: 10.4103/0189-6725.143180.
The management of oesophageal atresia and tracheo-oesophageal atresia (OATOF) is very challenging. While in developed countries survival of patients with this condition has improved, the outcome in many developing countries has been poor. Primary repair through a thoracotomy (or video-assisted thoracoscopic surgery where available) is the gold standard treatment of OATOF. However, in our setting where patients typically present late and with minimum support resources such as Neonatal Intensive Care Unit and total parenteral nutrition; staged repair may be the only hope of survival of these patients and this communication highlights the essential steps of this mode of treatment.
食管闭锁及食管气管瘘（OATOF）的治疗极具挑战性。尽管在发达国家，患有这种疾病的患者生存率有所提高，但许多发展中国家的治疗结果却很差。通过开胸手术（或在可行的情况下采用电视辅助胸腔镜手术）进行一期修复是OATOF的金标准治疗方法。然而，在我们这里，患者通常就诊较晚，且新生儿重症监护病房和全胃肠外营养等支持资源最少；分期修复可能是这些患者生存的唯一希望，本文着重介绍了这种治疗方式的关键步骤。
