Paediatria Croatica, Vol. 60 No. 2, 2016.
Izvorni znanstveni članak
https://doi.org/10.13112/PC.2016.8
Factors of esophageal atresia treatment outcome in newborns operated on at Department of Pediatric Surgery, Split University Hospital, during the 1991-2014 period
Zenon Pogorelić
Ivan Konstantinović
Miro Jukić
Dubravko Furlan
Tanja Kovačević
Ivo Jurić
Klaudio Pjer Milunović
Ivanka Antončić Furlan
Mihovil Biočić
Sažetak
Esophageal atresia is an anomaly that stands out from other anomalies in view of emergency, delicate postoperative treatment and
the need for long-term treatment. The aim of this study was to determine epidemiological, demographic and clinical characteristics
of patients operated on for esophageal atresia and compare them to other relevant studies. From January 1991 to September 2014,
medical histories of 46 patients treated for esophageal atresia were retrospectively reviewed. Data were collected from protocols of
the Department for Pediatric Surgery, Department of Neonatology and Intensive Care Unit (ICU), Split University Hospital archives
and history of the disease. The following parameters were analyzed: date of birth, sex, birth weight, surgery, type of anomaly, survival,
and early and late complications. Esophageal atresia was more frequent in females (60%). The most common type of esophageal
atresia according to Vogt classifi cation was type 3B (92%). Overall mortality was 35%, noting that mortality before and after the
introduction of ICU care was 80% and only 14%, respectively. Pneumonia was the most common early complication, whereas the
most common late complications were dysphagia (35%) and anastomotic stricture (12%). Cardiovascular anomalies were the most
common congenital malformations that accounted for 45% of all associated anomalies and found in 30% of the children with
esophageal atresia. In conclusion, early recognition of this anomaly is of great importance, primarily due to the fact that it is a
life-threatening anomaly the early diagnosis of which and surgery reduce complications and improve the outcome. A multidisciplinary
approach and recognition of associated anomalies is necessary for child survival. In addition to early diagnosis, surgical
postoperative intensive care is crucial for survival.
Ključne riječi
esophageal atresia; infant, newborn; outcome assessment (health care)
Hrčak ID:
162367
URI
Datum izdavanja:
30.6.2016.
Posjeta: 5.264 *