Abstract | PURPOSE: METHODS: Health records of ELBW EA/TEF infants treated at our institution from 2000 to 2014 were reviewed (REB1000046653). Demographics, operative approach and postoperative complications were analyzed. Data are reported as median (range). RESULTS: Of 268 EA/TEF infants, 8 (3 %, five females) were ELBW (930 g, 540-995). Gestational age was 28 weeks (23-32). Seven had type-C EA/TEF and one type B. OUTCOMES: One trisomy 18 infant received no treatment and died; one initially diagnosed as type A had primary repair at 126 days of life (DOL); six underwent TEF ligation (three trans-pleural) with primary repair in one and delayed anastomosis in two (DOL 120 and 178). The remaining three died ( gastrostomy dehiscence and peritonitis, liver hemorrhage during peritoneal drain insertion, severe chronic lung disease and brain hemorrhages). At a median follow-up of 3 years (range 15 months-5 years), all survivors are thriving. CONCLUSION: ELBW infants with EA/TEF are rare and result in high morbidity and mortality. Mortality is mainly related to complications not associated with EA/TEF repair. Fistula ligation followed by delayed anastomosis seems to achieve a better outcome in ELBW infants.
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Authors | Augusto Zani, Justyna Wolinska, Giovanni Cobellis, Priscilla P L Chiu, Agostino Pierro |
Journal | Pediatric surgery international
(Pediatr Surg Int)
Vol. 32
Issue 1
Pg. 83-8
(Jan 2016)
ISSN: 1437-9813 [Electronic] Germany |
PMID | 26519042
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Anastomosis, Surgical
- Esophageal Atresia
(epidemiology, surgery)
- Female
- Follow-Up Studies
- Humans
- Infant, Low Birth Weight
- Infant, Newborn
- Male
- Postoperative Complications
(epidemiology)
- Survival Analysis
- Tracheoesophageal Fistula
(epidemiology, surgery)
- Treatment Outcome
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