Gandhe M L
Prog Pediatr Surg. 1982;15:237-42.
Our experience in treating congenital oesophageal atresia in the central part of the Indian subcontinent is presented. Forty-seven cases were diagnosed over a period of 6 years. Of these 31 were operated upon. Prematurity, low birth weight and other associated anomalies were present in a large number. Anatomical types and clinical presentation confirmed to the usual pattern. There was delay in diagnosis and instituting surgical care in most cases. The causes and remedies for this are discussed. Of the 31 operated infants 20 died within a week. Seven infants died in the hospital after the 1st week. Only four were discharged as cured. This is considered a satisfactory achievement in the presence of many shortcomings in expert manpower, basic needs of transport and nursing care. It is recommended that all surgical centres should undertake this procedure as a salvage procedure because no other alternative is available. Development of specialized units will not be able to cater to the whole population in a large country for many more years.
本文介绍了我们在印度次大陆中部治疗先天性食管闭锁的经验。在6年的时间里共诊断出47例病例。其中31例接受了手术。大量病例存在早产、低出生体重及其他相关畸形。解剖类型和临床表现符合常见模式。大多数病例存在诊断延迟及手术治疗延迟的情况。文中讨论了其原因及补救措施。在31例接受手术的婴儿中，20例在一周内死亡。7例婴儿在第一周后在医院死亡。只有4例治愈出院。在专家人力、交通基本需求及护理存在诸多不足的情况下，这被认为是一项令人满意的成果。建议所有外科中心将此手术作为一种挽救措施来开展，因为没有其他替代方案。在一个大国，专业单位的发展在未来许多年内都无法满足全体人口的需求。
