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. 1969 Sep;111(3):165–168.

Esophageal Atresia and Tracheo-Esophageal Fistula — 25 Years' Experience and Current Management

G L Krishinger, Morton M Woolley
PMCID: PMC1503623  PMID: 5823512

Abstract

A review of the experience with esophageal atresia and tracheoesophageal fistula over a 25-year period appears to lead to the advisability of the following procedures in surgical management:

• Emergency gastrostomy under local anesthesia in all patients.

• Extrapleural interruption of tracheo-esophageal fistula and end-to-end esophago-esophagostomy in patients who have the common type of upper esophageal atresia with distal tracheo-esophageal fistula.

• Upper esophageal stretching and eventual esophago-esophagostomy in patients with proximal and distal esophageal atresia with or without proximal tracheo-esophageal fistula.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. HOLDER T. M., McDONALD V. G., Jr, WOOLLEY M. M. The premature or critically ill infant with esophageal atresia: increased success with a staged approach. J Thorac Cardiovasc Surg. 1962 Sep;44:344–358. [PubMed] [Google Scholar]
  2. Hays D. M., Woolley M. M., Snyder W. H., Jr Changing techniques in the management of esophageal atresia. Arch Surg. 1966 Apr;92(4):611–616. doi: 10.1001/archsurg.1966.01320220167026. [DOI] [PubMed] [Google Scholar]
  3. Hays D. M., Woolley M. M., Snyder W. H., Jr Esophageal atresia and tracheoesophageal fistula: management of the uncommon types. J Pediatr Surg. 1966 Jun;1(3):240–252. doi: 10.1016/s0022-3468(66)80004-0. [DOI] [PubMed] [Google Scholar]
  4. Johnston A. E., Conn A. W. The anaesthetic management of tracheo-oesophageal fistula: a review of five years' experience. Can Anaesth Soc J. 1966 Jan;13(1):28–39. doi: 10.1007/BF03002161. [DOI] [PubMed] [Google Scholar]
  5. Koop C. E., Hamilton J. P. Atresia of the esophagus: increased survival with staged procedures in the poor-risk infant. Ann Surg. 1965 Sep;162(3):389–401. doi: 10.1097/00000658-196509000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. LONGINO L. A., WOOLLEY M. M., GROSS R. E. Esophageal replacement in infants and children with use of a segment of colon. J Am Med Assoc. 1959 Oct 31;171:1187–1192. doi: 10.1001/jama.1959.03010270023006. [DOI] [PubMed] [Google Scholar]
  7. Lind J. F., Blanchard R. J., Guyda H. Esophageal motility in tracheoesophageal fistula and esophageal atresia. Surg Gynecol Obstet. 1966 Sep;123(3):557–564. [PubMed] [Google Scholar]
  8. RICKHAM P. P., BOECKMAN C. R. ACHALASIA OF THE ESOPHAGUS IN YOUNG CHILDREN. Clin Pediatr (Phila) 1963 Dec;2:676–680. doi: 10.1177/000992286300201206. [DOI] [PubMed] [Google Scholar]
  9. Romsdahl M. M., Hunter J. A., Grove W. J. Tracheoesophageal fistula and esophageal atresia. Surgical management and results at a university hospital. J Thorac Cardiovasc Surg. 1966 Oct;52(4):571–578. [PubMed] [Google Scholar]
  10. SWENSON O., LIPMAN R., FISHER J. H., DELUCA F. G. Repair and complications of esophageal atresia and tracheoesophageal fistula. N Engl J Med. 1962 Nov 8;267:960–963. doi: 10.1056/NEJM196211082671904. [DOI] [PubMed] [Google Scholar]
  11. WOOLLEY M. M., CHINNOCK R. F., PAUL R. H. Premature twins with esophageal atresia and tracheo-esophageal fistula. Acta Paediatr. 1961 Jul;50:423–430. doi: 10.1111/j.1651-2227.1961.tb08196.x. [DOI] [PubMed] [Google Scholar]

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