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Perioperative Complications of Esophageal Atresia
Francesco Morini1, Andrea Conforti1, Pietro Bagolan1
1Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy.
Insights
Infants with esophageal atresia with/without tracheoesophageal fistula (EA/TEF) have high survival rates. This review details common perioperative complications, focusing on prevention and treatment strategies for these challenging cases.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Congenital Abnormalities
Background:
- Esophageal atresia with/without tracheoesophageal fistula (EA/TEF) affects newborns, with survival rates now exceeding 90%.
- Despite high survival, perioperative complications remain a significant concern for affected infants and surgical teams.
Purpose of the Study:
- To review the most frequent perioperative complications in infants with EA/TEF.
- To identify predisposing factors, preventive measures, and treatment options for these complications.
Main Methods:
- Literature review focusing on perioperative complications in EA/TEF.
- Analysis of predisposing factors, prevention, and treatment strategies.
Main Results:
- Detailed description of common perioperative complications specific to EA/TEF.
- Identification of key risk factors and management approaches.
Conclusions:
- Addressing perioperative complications is crucial for improving outcomes in EA/TEF infants.
- Understanding and managing these complications requires a multidisciplinary approach and surgical expertise.
Abstract:
Current survival rate of infants with esophageal atresia with/without tracheoesophageal fistula (EA/TEF) exceeds 90% and great interest is dedicated to the long-term outcomes and complications. However, perioperative complications represent a significant burden to the EA/TEF infants and a technical challenge for the surgeon. In this review, we will focus on the most frequent perioperative complications specific of EA/TEF to describe their predisposing factors, possible preventive measures, and treatment options.
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