Nawaz A, Matta H, Shawis R, Jazcobsz A, Kassir S, Al-Salem A H
Division of Pediatric Surgery, Department of Surgery, Tawam Hospital, Al Ain, Abu Dhabi, United Arab Emirates.
Pediatr Surg Int. 1998 Dec;14(3):214-7. doi: 10.1007/s003830050491.
The management of esophageal atresia (EA) and tracheoesophageal fistula (TEF) has improved markedly over the years, with a current overall survival of 80%-90%. This however, is not the case in developing countries, where mortality continues to be high. The results of treatment of 41 consecutive cases EA and/or TEF have been analyzed to determine factors pertinent to the outcome. The distribution of anomalies and a postoperative survival of 86.8% were comparable to those from developed countries. Aspiration pneumonia was unusually frequent in our patients (78%), but did not adversely influence outcome. Associated congenital anomalies as well as low birth weight continue to be important predictors of outcome in our setting. Our post-operative complications were similar to those from developed countries apart from a high incidence of stricture formation. This was attributed to gastroesophageal reflux, non-ventilation post-operatively, and the use of silk sutures to construct the anastomosis.
多年来，食管闭锁（EA）和气管食管瘘（TEF）的治疗有了显著改善，目前总体生存率为80% - 90%。然而，在发展中国家情况并非如此，那里的死亡率仍然很高。对41例连续性食管闭锁和/或气管食管瘘病例的治疗结果进行了分析，以确定与预后相关的因素。异常分布情况以及86.8%的术后生存率与发达国家的情况相当。我们的患者中吸入性肺炎异常常见（78%），但并未对预后产生不利影响。在我们的研究环境中，相关先天性异常以及低出生体重仍然是预后的重要预测因素。除了狭窄形成的高发生率外，我们的术后并发症与发达国家的相似。这归因于胃食管反流、术后不进行通气以及使用丝线缝合进行吻合。
