Surgical management of oesophageal atresia. (June 2016)

• Record Type: Journal Article
• Authors: Teague, Warwick J.; Karpelowsky, Jonathan
• Is Part Of: Paediatric respiratory reviews. Volume 19(2016)
• Page Start: 10
• Page End: 15
• Publication Date: 2016-06
• Subjects: Oesophageal atresia -- Long Gap oesophageal atresia -- Tracheo-oesophageal fistula; Pediatric respiratory diseases -- Periodicals; Respiratory organs -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory Therapy -- Periodicals; Child -- Periodicals; Appareil respiratoire -- Infections, chez l'enfant -- Périodiques; Appareil respiratoire -- Maladies, chez l'enfant -- Périodiques; 618.922
• DOI: 10.1016/j.prrv.2016.04.003
• Languages: English
• ISSNs: 1526-0542

Abstract

Summary: There have been major advances in the surgery for oesophageal atresia (OA) and tracheo-oesophageal fistula(TOF) with survival now exceeding 90%. The standard open approach to OA and distal TOF has been well described and essentially unchanged for the last 60 years. Improved survival in recent decades is most attributable to advances in neonatal anaesthesia and perioperative care. Recent surgical advances include the use of thoracoscopic surgery for the repair of OA/TOF and in some centres isolated OA, thereby minimising the long term musculo-skeletal morbidity associated with open surgery. The introduction of growth induction by external traction (Foker procedure) for the treatment of long-gap OA has provided an important tool enabling increased preservation of the native oesophagus. Despite this, long-gap OA still poses a number of challenges, and oesophageal replacement still may be required in some cases.