Department of Surgery, Kanti Children’s Hospital, Maharajgunj, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2020 Oct 15;58(230):736-739. doi: 10.31729/jnma.5242.
Tracheo-oesophageal anomaly is the abnormal communication between trachea and oesophagus. The most common type of tracheo-oesophageal anomaly is oesophageal atreasia with distal tracheo oesophageal fistula. Tracheo-oesophageal anomaly is a common neonatal problem requiring an urgent surgery. Tracheo-oesophageal anomaly can be diagnosed as an isolated malformation or as part of polymalformative syndrome with possible vertebrae anomalies also known as Vacterl syndrome. The aim of the study is to find out the prevalence of tracheo-oesophageal anomaly cases among neonates undergoing surgery in a tertiary care childrens hospital in Nepal.
This is a descriptive cross sectional study conducted in a tertiary care children’s hospital in Nepal taking into account the medical records from period of 01 Jan, 2018 to Dec 31, 2019. Study population included the infants undergoing operative procedure in the operation theatre of Kanti Children’s Hospital. The calculated sample size was 306. Data was collected by retrospective chart review technique and listed in performa. Consecutive sampling technique was used. Thus collected data was entered in SPSS version 20 and necessary calculations were done.
The prevalence of tracheo-oesophageal anomalies was found out to be 30 (9.8%) at 95% confidence interval. The most common problem, with which infants were brought to Kanti Children’s Hospital, that required urgent neonatal surgical intervention was anorectal malformation constituting 94 (30.72%) of the surgeries followed by intestinal obstruction 76 (24.84%) which included duodenal atresia, jujunal atresia and ileal atresia.
Tracheo-oesophageal anomaly constitutes a major portion of neonatal disease condition requiring surgery in Nepal.
气管食管异常是指气管和食管之间的异常连通。最常见的气管食管异常类型是食管闭锁伴远端气管食管瘘。气管食管异常是一种常见的新生儿问题，需要紧急手术。气管食管异常可以作为孤立性畸形或作为多畸形综合征的一部分进行诊断，多畸形综合征可能伴有椎体异常，也称为 VACTERL 综合征。本研究的目的是在尼泊尔的一家三级儿童保健医院中，找出接受手术的新生儿中气管食管异常病例的发生率。
这是一项在尼泊尔的一家三级儿童保健医院进行的描述性横断面研究，考虑了 2018 年 1 月 1 日至 2019 年 12 月 31 日期间的病历。研究人群包括在坎蒂儿童医院手术室接受手术的婴儿。计算出的样本量为 306 例。通过回顾性病历回顾技术收集数据，并列入表格。采用连续抽样技术。因此，收集到的数据输入 SPSS 版本 20 并进行了必要的计算。
在 95%的置信区间内，气管食管异常的发生率为 30 例（9.8%）。婴儿因最常见的问题被带到坎蒂儿童医院，需要紧急新生儿外科干预的问题是肛门直肠畸形，构成了 94 例（30.72%）手术，其次是肠梗阻 76 例（24.84%），其中包括十二指肠闭锁、空肠闭锁和回肠闭锁。
气管食管异常在尼泊尔构成了需要手术的新生儿疾病状况的主要部分。
