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Ann Thorac Surg 1984;38:606-610
© 1984 The Society of Thoracic Surgeons

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Articles

Surgical Treatment of Congenital Esophageal Atresia

Divisions of Cardiothoracic Surgery and Pediatric Radiology, Albany Medical College, Albany, NY

^* Address reprint requests to Dr. McKneally, Suite ME 622, Albany Medical College, Albany, NY 12208

Severe gastroesophageal reflux was found in 9 out of 18 infants with congenital esophageal atresia studied radiographically shortly after primary reconstruction. Pulmonary complications were recorded in 18 out of 32 similar patients in long-term follow-up. Strictures at the level of the anastomosis were detectable in 18 out of 32 patients; eleven strictures were severe enough to require dilation or surgical revision. These findings suggest that early evaluation for gastroesophageal reflux may be useful in management of infants with esophageal atresia. The precautions taken preoperatively to prevent complications of gastroesophageal reflux should be continued in the postoperative interval unless a competent lower esophageal sphincter is demonstrated.