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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Retrospective cohort study of long-gap oesophageal atresia

Rajesh Maheshwari1, Amit Trivedi, Karen Walker

  • 1Grace Centre for Newborn Care, The Children's Hospital, Sydney, New South Wales, Australia.

Journal of Paediatrics and Child Health
|June 21, 2013
PubMed

Insights

Infants with long-gap esophageal atresia (LGOA) face prolonged hospital stays and significant risks of growth failure. Close monitoring for developmental delays is crucial for these children.

Area of Science:

  • Pediatric Surgery
  • Neonatology
  • Developmental Pediatrics

Background:

  • Long-gap esophageal atresia (LGOA) is a rare congenital malformation.
  • Management of LGOA presents unique challenges in neonates.

Purpose of the Study:

  • To review short-term outcomes for infants with LGOA.
  • To assess survival, hospital stay, complications, growth, and neurodevelopment.

Main Methods:

  • Retrospective review of 101 esophageal atresia cases (2001-2011).
  • 15 infants met LGOA criteria; data extracted from case notes.
  • Included demographic, clinical, and follow-up developmental data.

Main Results:

  • 80% survival rate; median hospital stay of 83 days.
  • 60% had additional congenital anomalies.
  • Majority experienced growth failure; all assessed infants showed abnormal neurodevelopment (Bayley-III), particularly in gross motor skills.

Conclusions:

  • LGOA infants require extended hospitalization.
  • Significant risk of growth failure during and after hospitalization.
  • Potential for developmental delay necessitates vigilant monitoring.
Abstract

Keywords:
growth and developmentnewbornoesophageal atresia

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