April 1979

Esophageal AtresiaA 41-Year Experience

Author Affiliations

From the Sections of Pediatric Surgery (Drs Strodel, Coran, Weintraub, and Wesley) and Thoracic Surgery (Drs Strodel, Kirsh, and Sloan), Mott Children's Hospital and the University of Michigan Medical School, Ann Arbor.

Arch Surg. 1979;114(4):523-527. doi:10.1001/archsurg.1979.01370280177030

• Since the first attempted repair in 1935, a total of 365 infants have undergone treatment for esophageal atresia with or without tracheoesophageal fistula. To evaluate the improvement in our results, we have divided our patients into four, approximately equal, time periods. The overall late survival has indeed improved during each of the four decades from between 36% and 53% to 68% in the last ten years. During this past decade, the group A risk infants (35 patients) had a 3% mortality, the group B (20 patients) had a 5% mortality, but the group C babies (22 patients) had a 41% mortality due to associated anomalies or severe prematurity. Anastomotic leaks and recurrent fistulas were each encountered in approximately 5% of the cases in all decades. Postoperative stricture has been encountered in 20% of the entire series and no esophageal replacements have been required.

(Arch Surg 114:523-527, 1979)