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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 18, No. 2, 2013, pp. 137-141
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Bioline Code: js13041
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 18, No. 2, 2013, pp. 137-141
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Management of Congenital Tracheosophageal Atrasia and Fistula: A preliminary Bi-Cenre Study in Nigeria.
Aiwanlehi, E.; Odion, C. & Osasumwen, O.
Abstract
Background:
Esophageal atresia and tracheosophageal fistula are congenital abnormalities of the
esophagus. The incidence is about 1 in 2,400 to 4,500.It can occur in association with conditions of
the VACTERL group. The diagnosis is confirmed by the failure of a nasogastric tube to get to the
stomach. Surgery is the mainstay of treatment. There has been remarkable improvement in the
outcome following surgery in developed countries. This cannot be said of low resource and
developing countries where significant morbidities and mortalities are recorded. This paper
highlights the early postoperative complications seen from two centers in Nigeria. It also raises
questions that stimulate further research
Methods:
This was a retrospective study done in two tertiary teaching hospitals in Nigeria over a
one year period (2012). It was a preliminary work to evaluate the differences in management of
neonates with tracheosophageal fistula (TEF) from the two centers over the same period.
Results:
Two centres were compared.Centre A managed 4 patients and Center B managed 5
patients.Staged repair was done in centre A and primary repair in Centre B.
Conclusion:
The outcome of management using primary repair and staged repair were comparably
the same.
Keywords
Atresia; Fistula; Tracheosophageal; Congenital
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© Copyright 2013 - East and Central African Journal of Surgery
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