| چکیده انگلیسی مقاله |
Esophageal atresia (EA) is a rare congenital anomaly that may be isolated or associated with other anomalies requiring prompt medical and surgical planning for optimal result. This study was conducted to show our recent experience on the outcome of treated patients in two hospitals affiliated to Tehran University of Medical Sciences (TUMS). From January 2008 to May 2013 records of 43 neonates patients (23 male) with EA admitted in 2 children centers and all related data including demographic, diagnostic associated anomalies, surgical approaches, birth weight, mortality, and complications were collected. Inability of feeding and swallowing was the most common symptoms (in 90,6%), associated CHD (44%), and Type C (EA) was the most common type of EA observed in 86% patients, The mortality rate was 4.7% and most common complication was anastomotic stricture (AS) in 60% of patients. Our study showed that despite improvements in management and survival of an infant with (EA), still sepsis, aspiration pneumonia, prematurity, and low birth weight and severe Congenital Heart Disease (CHD) were independent etiology of death and birth weight < 2.500 gr has a significant effect on the occurrence of postoperative complications. |
| نویسندگان مقاله |
| Mehrdad Goodarzi
Department of Anesthesiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
| Hossein Ali Khazaei
Department of Clinical Immunology, Clinical Immunology Research Center (CIRC), Zahedan University of Medical Sciences, Zahedan, Iran.
| Bahar Ashjaei
Department of Surgery, School of Medicine, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran .
| Maryam Ghavami
Department of Surgery, School of Medicine, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran .
| Mansour Mollaeian
Department of Surgery, School of Medicine, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.
| Nora Bigdeli
Department of Surgery, School of Medicine, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran .
| Ali Talebi
Department of Surgery, School of Medicine, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
| Azita Parvizizadeh
Department of Surgery, School of Medicine, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
| Gholamreza Badfar
Department of Pediatric, School of Medicine, Ahvaz University of Medical Sciences, Ahvaz, Iran.
| Alireza Ebrahim Soltani
Department of Anesthesiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
| Alireza Nahvi
Department of Biomedical Engineering, School of Engineering, Shahed University, Tehran, Iran.
| Valiullah Mehrabi
Department of Surgery, School of Medicine, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
| Hedayatollah Nahvi
Department of Surgery, School of Medicine, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran .
|