Gastrointestinal anomalies associated with esophageal atresia or tracheoesophageal fistula
R. J. Andrassy and G. H. Mahour
A retrospective analysis of 150 consecutive patients with esophageal
atresia and/or tracheoesophageal fistula was undertaken. The incidence and
variety of gastrointestinal (GI) anomalies, the method of management, and
the cause of death were critically reviewed to outline preferred methods of
management. Of these patients, 87 were male and 63 female. There were 62 GI
anomalies in 40 patients. The most common GI anomalies included anorectal
anomalies in 17 patients, malrotation of the midgut in 13 patients,
duodenal atresia or stenosis in ten patients, and annular pancreas and
ectopic pancreatic tissue in three patients each. Six patients had the
combination of tracheoesophageal fistula, duodenal obstruction, and
anorectal anomaly. Of the 150 patients, 23 have died, with 15 deaths
occurring in those with associated GI anomalies. The GI anomalies
contributed directly to the deaths of five of these 15 patients. Delay in
diagnosis and, on occasion, improper initial management resulted in
increased morbidity and mortality.
