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Contemporary management and outcomes for infants born with oesophageal atresia

D M Burge1, K Shah, P Spark

  • 1Department of Paediatric Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK. david.burge@uhs.nhs.uk

The British Journal of Surgery
|January 22, 2013
PubMed

Insights

This study identified UK and Ireland infants with oesophageal atresia, revealing consistent perioperative management but varied practices in drains, contrast studies, and medication for this rare condition.

Area of Science:

  • Paediatric Surgery
  • Congenital Abnormalities

Background:

  • Oesophageal atresia management reports are often limited to single-centre case series.
  • This study aimed to comprehensively assess clinical practice and outcomes for all UK and Ireland infants with oesophageal atresia.

Purpose of the Study:

  • To identify all infants born with oesophageal atresia in the UK and Ireland.
  • To describe current clinical management strategies and early outcomes for this rare condition.

Main Methods:

  • Prospective multicentre cohort study.
  • Inclusion of all infants born with oesophageal atresia and/or tracheo-oesophageal fistula in the UK and Ireland during 2008-2009.
  • Recording of current clinical management and early outcomes.

Main Results:

  • 151 infants from 28 paediatric surgical units were identified.
  • Universal practices included oesophageal decompression, operative technique, and transanastomotic tubes.
  • Significant variation in perioperative chest drains, postoperative contrast studies, and antireflux medication (30-50% usage).

Conclusions:

  • Prospective methodology highlights universally adopted and less common surgical practices.
  • Identifies areas of clinical equipoise for oesophageal atresia management.
  • Provides a foundation for future research in optimizing treatment strategies.
Abstract

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