Diagnosis and management of congenital type D esophageal atresia
link.springer.com shows its articles on its own site.
Read the article on link.springer.com ↗Article · Oct 2023 · 1 min read
In brief
In brief
This retrospective study of 10 patients with type D esophageal atresia reveals that 70% were initially misdiagnosed as type C, leading to unplanned reoperations. The study demonstrates that thoracoscopic and open surgical approaches achieve favorable outcomes in patients without severe comorbidities, with 90% survival rate.
Written by the GCMD Library team from the article.
Abstract
This study was performed to describe the current clinical practice and outcomes of type D esophageal atresia. We retrospectively analyzed 10 patients who were diagnosed with type D esophageal atresia and underwent esophageal atresia and tracheoesophageal fistula repair in the Capital Institute of Pediatrics and Beijing Children’s Hospital from January 2017 to May 2022. Ten patients include three newborns and seven non-newborns. Seven (70%) cases were misdiagnosed as type C esophageal atresia before the first operation. Three neonatal children underwent thoracoscopic distal tracheoesophageal fistula ligation and esophageal anastomosis: the proximal tracheoesophageal fistula was simultaneously repaired with thoracoscopy in one of these children, and the proximal tracheoesophageal fistula was not detected under thoracoscopy in the other two children. Among the seven non-neonatal children, one underwent repair of the proximal tracheoesophageal fistula through the chest and the other six underwent repair through the neck. Nine patients were cured, and one died of complications of severe congenital heart disease. Type D esophageal atresia lacks specific clinical manifestations. Misdiagnosis as type C esophageal atresia is the main cause of an unplanned reoperation. Patients without severe malformations have a good prognosis.