J.Jpn. Surg. Soc.. 91(9): 1306-1309, 1990

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Report on the annual meeting

THE PRESENT STATUS AND PROBLEMS IN THE TREATMENT OF CONGENITAL ESOPHAGEAL ATRESIA

1. We had the 30 cases of the congenital esophageal atresia for past 15 years which consisted of the type A(4), the type C(25), and the type E(1) in the Gross classification. Only two cases were confirmed by ultrasonography in the prenatal period.
2. Nineteen cases (63.3%) were group C in the Waterston risk classification. The complicated malformations were observed in many cases, included 18 trisomy, which were still problem awaiting solution.
3. Seven cases (36.8%) had the anastomotic disruption and 3 cases (15.8%) died of postoperative ComplicationS.
4. The patients who came to the hospital 2 days or more after birth had bad prognosis. The early diagnosis, included prenatal period, and accurate diagnosis may improve prognosis.
5. In the long term post-operative symptoms, there was the tendency for the cases of anastomotic disruption to have the esophageal obstructions and respiratory problems.

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