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Evaluate institutional management, surgical strategies, and survival outcomes in extremely low birth weight infants presenting with oesophageal atresia and tracheo-oesophageal fistula.

April 18, 2016Pediatric Surgery InternationalOpen Access

Oesophageal atresia is correctable and survivable in infants less than 1 kg

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Evaluate institutional management, surgical strategies, and survival outcomes in extremely low birth weight infants presenting with oesophageal atresia and tracheo-oesophageal fistula.
Retrospective review of an institutional database from 1993 to June 2015 evaluating neonates with oesophageal atresia.
Identified N=9 extremely low birth weight infants (<1000 g) from a total cohort of 349 patients, assessing gestational age, birth weight, anomalies, procedures, morbidity, and mortality.
Overall survival was 56% (5/9), with a median birth weight of 815 g (range 630–950 g) and gestational age spanning 23 to 34 weeks.
Survival occurred in 43% (3/7) of patients with type C defects who underwent fistula ligation, whereas 100% (2/2) of patients with type A defects survived following staged surgical repairs.
Mortality was 100% (3/3) among infants weighing under 800 g, with deaths driven by severe prematurity complications and congenital cardiac disease.

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Implication

Retrospective review demonstrates a 56% survival rate for oesophageal atresia in infants under 1 kg, indicating that babies below 800 g face substantially higher mortality.

Cite This Study

Hannon et al. (2016) studied this question.

synapsesocial.com/papers/6aa94af010c8139d8e8790ed https://doi.org/10.1007/s00383-015-3851-4

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Implication

Retrospective review demonstrates a 56% survival rate for oesophageal atresia in infants under 1 kg, indicating that babies below 800 g face substantially higher mortality.

Oesophageal atresia is correctable and survivable in infants less than 1 kg

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Discussion

Implication

Cite This Study

Oesophageal atresia is correctable and survivable in infants less than 1 kg

Key Points

Discussion

Implication

Cite This Study

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