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The Annals of Thoracic Surgery, Vol 28, 54-59, Copyright © 1979 by The Society of Thoracic Surgeons

ARTICLES

Esophageal atresia and tracheoesophageal fistula: preoperative assessment and reduced mortality

JC Stothert Jr, L McBride, JE Lewis, RK Danis and HB Barner

One hundred twenty-nine infants with esophageal atresia and tracheoesophageal fistula were reviewed from 1955 to 1978. The overall mortality was 38%. Factors associated with the increased mortality include prematurity, pneumonia, and congenital defects other than this anomaly. A classification based on these factors in introduced, which provides the clinician with a prognostic survival rate greater than 90% with only physical examination, chest and abdominal roentgenography, and intravenous pyelography. Postoperative mortality was reduced to 11% in the last five years of the study; this is attributed to the exclusive use of the retropleural approach to the esophagus, more intensive postoperative ventilatory support, and routine use of parenteral nutrition.