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  • Title: Esophageal atresia and tracheoesophageal fistula: success and failure rates in the United Arab Emirates.
    Author: Nawaz A, Matta H, Shawis R, Jazcobsz A, Kassir S, Al-Salem AH.
    Journal: Pediatr Surg Int; 1998 Dec; 14(3):214-7. PubMed ID: 9880753.
    Abstract:
    The management of esophageal atresia (EA) and tracheoesophageal fistula (TEF) has improved markedly over the years, with a current overall survival of 80%-90%. This however, is not the case in developing countries, where mortality continues to be high. The results of treatment of 41 consecutive cases EA and/or TEF have been analyzed to determine factors pertinent to the outcome. The distribution of anomalies and a postoperative survival of 86.8% were comparable to those from developed countries. Aspiration pneumonia was unusually frequent in our patients (78%), but did not adversely influence outcome. Associated congenital anomalies as well as low birth weight continue to be important predictors of outcome in our setting. Our post-operative complications were similar to those from developed countries apart from a high incidence of stricture formation. This was attributed to gastroesophageal reflux, non-ventilation post-operatively, and the use of silk sutures to construct the anastomosis.
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