Esophageal Atresia and Tracheoesophageal Fistula: Preoperative Assessment and Reduced Mortality

Joseph C. Stothert, Lawrence McBride, J. Eugene Lewis, Richard K. Danis, Hendrick B. Barner

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

One hundred twenty-nine infants with esophageal atresia and tracheoesophageal fistula were reviewed from 1955 to 1978. The overall mortality was 38%. Factors associated with the increased mortality include prematurity, pneumonia, and congenital defects other than this anomaly. A classification based on these factors is introduced, which provides the clinician with a prognostic survival rate greater than 90% with only physical examination, chest and abdominal roentgenography, and intravenous pyelography. Postoperative mortality was reduced to 11% in the last five years of the study; this is attributed to the exclusive use of the retropleural approach to the esophagus, more intensive postoperative ventilatory support, and routine use of parenteral nutrition.

Original languageEnglish (US)
Pages (from-to)54-59
Number of pages6
JournalAnnals of Thoracic Surgery
Volume28
Issue number1
DOIs
StatePublished - 1979

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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