J.Jpn. Surg. Soc.. 80(12): 1326-1330, 1979

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Report on the annual meeting

CONGENITAL ESOPHAGEAL ATRESIA CRINICAL ANALYSIS OF 35 CASES

Since 1963, 35 infants have undergone treatment for esophageal atresia with or without tracheoesophageal fistula at Niigata University Hospital, consisting of 2 Gross A, 31 Gross C, 2 Gross E.
In 35 infants studied, there were 18 infants with associated anomalies (51%), 15 infants with preoperative respiratory complications (47%) and 8 infants with low birth weight (23%).
There were 11 deaths in the 35 infants, a mortality of 31%.
To evaluate the improvement in our results, we divided our patients into two time piriods; 1963-1971, 1971-1978. The late survival has improved during each of the two time periods from 50% to 84%.
Gastrostomy prior to a primary anastomosis seems to be one of important factors improving the clinical prognosis of patients with esophageal atresia.

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