Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics

Background: The aim of this study is to determine the prevalence of the most common short term complications in infants operated for Esophageal Atresia with or without tracheoesophageal fistula in our hospital. Materials and Methods: A retrospective cohort study was performed on all infants (143) surgically treated for EA with or without TEF between January 2016 till March 2018 in surgical NICU of Cairo University Pediatric Hospital. Twenty four infants were excluded from the study due to insufficient data. Nine infants were excluded only from operative and postoperative analysis as they died preoperatively. Data of these patients was retrieved from medical files and direct interviewing alive patients. Demographic and baseline data, preoperative and postoperative data and complications in the patient cohort was estimated.Results: 119 patients were included in this study, 57female (47.9%) and 62 male (52.1%). Consanguinity was present in 21(17.8%) cases. The mean gestational age and birth weight were 36.9 ± 1.73 weeks and 2500 ± 540 g, respectively. 57 preterm infants (47.9%) had a birth weight of 1500{u2013}2500 g and five preterm infants (4.2%) showed a birth weight <1500 g. Overall, associated anomalies were present in 62 patients (42.8%). Cardiac anomalies were the most frequent anomalies 22.7 % then gastrointestinal in 10%. According to the Gross classification for EA, type C EA/TEF was the most common type (95,5%) among our patients.100 children had short-gap EA (90%) and 11 children were classified as long-gap EA (10%). Surgical intervention was performed, with a mean of days 9.86 ± 7.86 after birth

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