Özefagus Atrezisi ve Trakeoözefageal Fistül Deneyimlerimiz

Abstract

To evaluate the treatment results of patients who were operated with the diagnosis of esophageal atresia and tracheoesophageal fistula (EA and TEF) in our clinic. The results of patients who were operated with the diagnosis of esophageal atresia and tracheaesophageal fistula between April 2017 and November 2019 were retrospectively evaluated. The patients were evaluated in terms of gestational age, birth weight, gender, atresia type, surgical approach, and duration of treatment. Postoperative mechanical ventilator follow-up was examined in terms of the transition time to nasogastric tube and oral feeding, and complications. A total of 24 patients, 20 (83%) boys and 4 (17%) girls, were included in the study. The mean age at surgery was 3.9 days. The gestational age of the patients was 35 weeks and the mean birth weight was 2391 grams. Distal tracheaesophageal fistula + proximal atresia were detected in 22 (92%) patients. Congenital heart disease was detected in 14 (58%) patients. The follow-up time in the ventilator was 27 hours, and the average oral feeding time was 11 days. Three (12.5%) patients died. Hospital stay was 16 days. During their follow-up, anastomotic stenosis was observed in 5 (21%) patients, and anastomotic leakage was observed in one (4%) patient. EA and TEF are anomalies that can be highly cured with surgical treatment. The follow-up of patients with EA by the neonatal team is important for the follow-up and treatment of additional anomalies. Therefore, these patients should be followed up with a multidisciplinary approach. Families should be informed about the frequent postoperative anastomotic stenosis.