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Esophageal atresia and tracheo-esophageal fistula

David C van der Zee1, Stefaan H A Tytgat2, Maud Y A van Herwaarden2

  • 1Professor of Pediatric Surgery, Dept. Pediatric Surgery, University Medical Center Utrecht, The Netherlands.

Seminars in Pediatric Surgery
|May 29, 2017
PubMed

Insights

This overview covers esophageal atresia (EA) management, from initial correction to long-term care and complications. Centralizing EA patients in expert centers is recommended for optimal outcomes.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Gastroenterology

Background:

  • Esophageal atresia (EA) management has evolved beyond simple anomaly correction.
  • Comprehensive care addresses the full spectrum of EA and its sequelae.
  • Complexities necessitate specialized, multidisciplinary approaches.

Purpose of the Study:

  • To provide a comprehensive overview of esophageal atresia management.
  • To review care for patients treated between January 2011 and June 2016.
  • To include patients referred from external centers.

Main Methods:

  • Retrospective review of patient data.
  • Analysis of management strategies and outcomes.
  • Focus on care within specialized EA centers.

Main Results:

  • Esophageal atresia presents multifaceted challenges requiring extensive management.
  • Sequelae and complications are integral to the patient care pathway.
  • Centralized care in expert centers is associated with improved outcomes.

Conclusions:

  • Optimal management of esophageal atresia requires a holistic, lifelong approach.
  • Expert centers provide a coordinated approach to address EA complexities.
  • Multidisciplinary care is crucial for managing EA and its associated complications.

Keywords:
Barrett esophagusEsophageal atresiaMotility disorders esophagusThoracoscopyTracheomalacia

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