Atresia esofágica: Evaluación, manejo y seguimiento de 18 casos.

Abstract

We studied retrospectively 18 cases of esophageal atresia at a university associated metropolitan hospital of Santiago, Chile. Fifteen patients were operated and followed up a'ong an average 14 months. Survival rate cr all operated cases was 73.33%. whi le it was 100% for patients w th Waters-ton type A operative r isk, 63.3% for those with Waterston type B 1 risk and bO% for patients w;th Waterston C2 risk type. In 63.6% patients tnere were mayor associated anomalies. Routine gastronomy was not necessary when a primary anastomosis was cone. Primary anastomosis in one laye', with 6/0 Vycr i l®, without movilization cr the distal esophagus, proved to be excellent in the prevention of esophageal structure. There was only one case of temporal fi ltration through the suture site which solved spontaneously. Vigourous antire~flux treatment was used from the moment of diagnosis, it also included the ^se of cimetidene to prevent esophagitis from preoperative throughout postoperative periods. There were few surgica^ complications and no mortality due to them. There was an unusual case of a double f 'Stula, ;n which the proximal one was very high at the neck and was missed in the initial thoracotorry. (