Anastomotic stricture prediction in patients with esophageal atresia with distal fistula

This 10-year retrospective study of 169 EA/TEF patients identifies long gap anatomy and delayed anastomosis as risk factors for stricture formation, occurring in 33% within one year. Post-operative esophagrams measuring stricture index (anastomosis/pouch diameter ratio) demonstrate predictive value, with late measurements (SI2) showing stronger correlation than early assessments.