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Ann Thorac Surg 1980;29:364-368
© 1980 The Society of Thoracic Surgeons

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Articles

Esophageal Atresia and Tracheoesophageal Fistula

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, the University of Iowa Hospitals and Clinics, Iowa City, IA

^* Address reprint requests to Dr. Ehrenhaft, Division of Thoracic and Cardiovascular Surgery, The University of Iowa Hospitals and Clinics, Iowa City, IA 52242

Fifty-seven babies were surgically treated for esophageal atresia and tracheoesophageal fistula between 1968 and 1978. Forty-eight (84%) had proximal esophageal atresia and a distal tracheoesophageal fistula, 2 (4%) had proximal and distal esophageal atresia and no tracheoesophageal fistula, and 7 (12%) had a tracheoesophageal fistula without esophageal atresia. Primary repair was accomplished in 43 patients (75%), colon interposition was required in 5 (9%), while the remainder had staged or palliative repairs. Forty-six (81%) survived surgical treatment. All 21 babies in Waterston Category A, 90% of 20 in Category B, and 44% of 16 in Category C survived surgical treatment. Serious complications occurred in 17 (30%), and dilatable strictures and other minor problems developed in 27 (47%).

Late follow-up (mean, 48 months) revealed 3 (7%) late deaths, 2 of which were due to congenital heart disease. Three patients required late colon interposition, and several require frequent dilatations of the esophagus. The Category A and B survivors are all functionally well, while the 5 surviving Category C patients are all significantly impaired by associated anomalies.

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