Kempker Tara, Peuterbaugh Jessica
University of Missouri School of Medicine, Department of Surgery, Division of Pediatric Surgery, Columbia, Missouri.
University of Missouri Healthcare, Columbia, Missouri.
Neoreviews. 2025 May 1;26(5):e307-e315. doi: 10.1542/neo.26-5-012.
Esophageal atresia is a congenital disease that results in discontinuity of the esophagus and can occur with or without fistulous connections to the trachea. It is often associated with other anomalies and has multiple long-term health implications. Because of the complexity of care involved in affected children, it is important to diagnose this lesion as early as possible. Surgical repair via either anastomosis of the native esophagus or reconstruction using either the stomach or intestine if this is not possible remain the mainstays of therapy, although variations in technique prevail. In this review, we summarize the approach to diagnosis, preoperative management considerations, surgical approach, medical considerations, and long-term outcomes of infants with esophageal atresia.
食管闭锁是一种先天性疾病，可导致食管连续性中断，可伴有或不伴有与气管的瘘管连接。它常与其他畸形相关，并有多种长期健康影响。由于患病儿童护理的复杂性，尽早诊断这种病变很重要。通过原生食管吻合术或在无法进行原生食管吻合术时使用胃或肠道进行重建的手术修复仍然是主要治疗方法，尽管技术存在差异。在本综述中，我们总结了食管闭锁婴儿的诊断方法、术前管理注意事项、手术方法、医疗注意事项和长期预后。
