BACKGROUNDS. Esophageal atresia encompasses a group of congenital anomalies comprising of an interruption of continuity of the esophagus, usually with a persistent communication with the trachea \u2013 tracheoesophageal fistula. Anatomical classification is used to describe\u00a0various types of atresia. Newborns with esophageal atresia usually present with frothing, coughing,\u00a0choking and regurgitation following feeding attempts. The diagnosis of esophageal atresia is established by passing a nasogastric tube and meeting resistance at the end of a blind\u00a0esophageal pouch or the tube may also become coiled in the esophagus, which can be confirmed by chest x-ray. Newborns with esophageal atresia should be stabilized and then transferred in incubator to the surgical center. Other congenital anomalies are also frequently\u00a0associated with esophageal atresia. The management of esophageal atresia is surgical. The\u00a0survival rates of low risk newborns in developed centers are close to 100%. METHODS. A retrospective analysis was done of all newborns that were operated on because of esophageal\u00a0atresia between the years 2004 and 2010 and were hospitalized at the Intensive Care Unit\u00a0of the Department of Paediatric Surgery and Intensive Care of the Ljubljana University Medical Centre. RESULTS. In 7 years, 34 newborns with esophageal atresia were admitted and\u00a0operated. During surgery, the following variants were found: esophageal atresia with distal\u00a0tracheoesophageal fistula, esophageal atresia with proximal and distal tracheoesophageal fistula, esophageal atresia with proximal tracheoesophageal fistula, isolated esophageal atresia,\u00a0and isolated tracheoesophageal fistula. Thirty newborns survived till discharge and 4 died.\u00a0CONCLUSIONS. The incidence of esophageal atresia in Slovenia is in accordance with published data. A higher incidence of esophageal atresia with proximal and distal tracheoesophageal\u00a0fistula as well as a high proportion of coarctation of the aorta among newborns with associated anomalies were noticed. The type of surgical repair done at our hospital is similar to\u00a0the treatmeat in other centers, although a higher proportion of newborns in which additional surgery was needed was noticed. The survival of newborns with esophageal atresia in\u00a0Slovenia is compatible to survival rates reported by other centers.<\/p>\n","protected":false},"excerpt":{"rendered":"
BACKGROUNDS. Esophageal atresia encompasses a group of congenital anomalies comprising of an interruption of continuity of the esophagus, usually with a persistent communication with the trachea \u2013 tracheoesophageal fistula. Anatomical classification is used to describe\u00a0various types of atresia. Newborns with esophageal atresia usually present with frothing, coughing,\u00a0choking and regurgitation following feeding attempts. The diagnosis of […]<\/p>\n","protected":false},"author":43,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[399,441],"tags":[],"class_list":["post-7377","post","type-post","status-publish","format-standard","hentry","category-2-2012-archive","category-pediatrics"],"acf":[],"yoast_head":"\n