Iranian Journal of Neonatology

Iranian Journal of Neonatology

An 8-Year experience of esophageal atresia repair in sarvar children hospital

Document Type : Original Article

Authors
Mehran Hiradfar 1
Ahmad Bazrafshan 1
Marjan Judi 2
Mohammad Gharavi 3
Reza Shojaeian 4
1 Associate professor of pediatric surgery- Mashhad University of Medical Sciences
2 Assistant professor of pediatric surgery - Mashhad University of Medical Sciences
3 Associate professor of anesthesiology- Mashhad University of Medical Sciences
4 Resident of pediatric surgery - Mashhad University of Medical Sciences
10.22038/ijn.2012.276
Abstract
Intruduction:
Esophageal atresia (EA) is a congenital anomaly treated by surgical reconstruction. Some early postoperative complications may be encountered we assessed complications following EA repair in a large number of neonates with EA / TEF.
methods:
243 patients with EA / TEF that were treated operatively in Sarvar Children’s Hospital from 2002 to 2010 were studied. Early post-operative complications in the ICU and surgery ward until hospital discharge were assessed.
Results:
Mean age was 3.4±2.76 days. Primary repair was performed in 83.5% Mean hospital stay was 12.5±12.81 days. Respiratory problems and food intolerance were the most common early complications. In-hospital mortality rate decreased significantly during the last 8 years (from 17.6% to 4.7%).
Conclusion:
 Acceptable results and a growing survival rate were observed in this series of patients and we anticipate better results with improvements in minimally invasive surgical methods.
 
Keywords
Esophageal atresia
Surgery
Outcome
In-hospital mortality