선천성 식도무공증의 임상적 고찰

김성철; 김대연; 김애란; 김기수; 피수영; 김인구

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자료유형: 학술저널

저자정보: 김성철 (울산대학교 의과대학 서울아산병원 소아외과) 김대연 (울산대학교 의과대학 서울아산병원 소아외과) 김애란 (울산대학교 의과대학 서울아산병원 신생아과) 김기수 (울산대학교 의과대학 서울아산병원 신생아과) 피수영 (울산대학교 의과대학 서울아산병원 신생아과) 김인구 (울산대학교 의과대학 서울아산병원 소아외과)

저널정보: 대한소아외과학회 Journal of the Korean Association of Pediatric Surgeons : JKAPS Journal of the Korean Association of Pediatric Surgeons : JKAPS 제9권 제1호

발행연도: 2003.1

수록면: 6 - 11 (6page)

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이 논문의 연구 히스토리 (2)

2003

선천성 식도무공증의 임상적 고찰

김성철 , 김대연 , 김애란 외 3명 Journal of the Korean Association of Pediatric Surgeons : JKAPS 2003.01 학술저널

2002

선천성 식도무공증의 임상적 고찰

김성철 , 김대연 , 김인구 대한외과학회 학술대회 초록집 2002.10 학술대회자료

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This study reviews 14 years' experience treating esophageal atresia with special emphasis on the clinical profile and outcome. From May 1989 to February 2003, 65 cases of esophageal atresia (EA) were treated at Asan Medical Center. Boys outnumbered girls 2.4 to 1. Prematutity and low birth weight were 27.7% and 38.5%. Esophageal atresia with distal tracheoesophageal fistula (TEF) was the most common type (87.7%), followed by pure EA and H type fistula. Forty-six patients (70.8%) had one or more associated anomalies, cardiac malformations were the most common. Duodenal atresia was found in 7 cases. There were 6 patients (9.2 %) with VATER cluster. VACTERL cluster was present in 18 patients (27.7%), one of who fulfilled the complete syndrome. Waterston group A, B and C made up 21.5%, 40.0% and 38.5% of the total group. Surgical treatment was attempted in 63 patients and deferred in 2 who had severe associated malformations. For EA with distal TEF, primary esophago esophagostomy was carried out in 51 cases, and division of TEF and gastrostomy in 4 cases and no operation in 2 cases. For pure EA, colonic graft was done in 2 after gastrostomy and esophagostomy, and esophago esophagostomy was performed in 2 after gastrostomy. Two patients with pure EA are waiting for the second operation after gastrostomy. Division of TEF was carried out in 2 cases with H type TEF. The overall survival rate was 76.9%, and survival by Waterston classification was 100% in group A, 80.8% in B and 60.0% in C. Thorough workup for associated anomalies, interdepartmental approach and more careful surgical decision and technique are required to improve the outcome of EA.

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