Información adicional

• Num_publicacion 72(4)
• Resumen_ingles

  Introduction: Oesophageal atresia (OA) comprises a group of digestive malformations caused by a defect in the continuity of the oesophagus. It entails a neonatal surgical emergency, requiring immediate diagnosis and treatment. The revised incidence in different series is 1:2500-3500 newborns.
  Objectives: To determine the epidemiology and clinical course of patients with OA treated in our center.
  Patients and methods: Retrospective and descriptive study of patients admitted for OA in a tertiary hospital in the last 6 years.
  Results: 34 infants, 15 of whom were born in our hospital (incidence 1:1,833), 61.8% male, 38.2% female (ratio 1.5:1); gestational age 37.12 ± 2.6 weeks; weight at birth 2,516.56 ± 599 g, the average age of their mothers was 32.76 ± 5.78 years; 11.8% had gestational diabetes and 38.2% had previous abortions. In prenatal ultrasound, 47.1% had polyhydramnios. The distribution by type of OA was: I (14.7%), III (82.4%), IV (2.9%). The main guiding symptom was hypersalivation (38.2%). 30% presented postoperative complications; postintervention esophagogram was normal in 80%. 38.2% of patients had other malformations; they pointed an average of assisted ventilation were 7.66 ± 6.34 days and parenteral nutrition 11.27 ± 7 days. Exitus rate: 11.8%.
  Conclusions: In our area we found a greater incidence than reported in literature with consistency in distribution by type of atresia, sex and associated malfomations. Gestational diabetes and previous abortions rates were higher. Mortality depends on birth weight and associated cardiac malformations, finding one or both criteria in the exitus of our serie.

• Palabras_clave_ingles Oesophageal atresia Tracheoesophageal fistula Cardiac malformations Birth weight Corrective surgery Polyhydramnios
• Todos_autores M. Vara Callau, D. Royo Pérez, A.J. González Esgueda, L. Gracia Torralba, M.L. Rodríguez Sanz, N. Clavero Montañés, S. Rite Gracia
• autores listados M. Vara Callau, D. Royo Pérez, A.J. González Esgueda, L. Gracia Torralba, M.L. Rodríguez Sanz, N. Clavero Montañés, S. Rite Gracia
• Correspondecia
  M. Vara Callau. Avda. Vía Universitas, 10, 5-3.º B. 50009 Zaragoza.
  Correo electrónico: martavc1983@gmail.com
• Titulo_ingles Oesophageal atresia: descriptive study of a 34 patients serie
• Centros_trabajo Unidad de Neonatología. Hospital Materno-Infantil «Miguel Servet». Zaragoza
• Publicado en Acta Pediatr Esp. 2014; 72(4): 76-80
• copyright ©2014 Ediciones Mayo, S.A.
• Fecha recepcion 14/07/12
• Fecha aceptacion 26/09/12