Late results of patients with oesophagus atrzias in children

Single-stage or staged esophagoesophagostomy was performed in 185 (98.9%) of 187 patients who were operated on from 214 patients included in the study. Oesophagoesophagostomy was performed with lengthening techniques (intraoperative stretching, Livaditis myotomy, tubularized upper pouch flap, partial pulling of the stomach to the thorax) in 57 of 59 patients (96.6%) who had long intermittent atresia and had definitive surgery, only 2 patients esophageal replacement (gastric transposition) was performed. In patients who were repaired with esophagoesophagostomy, anastomotic stricture in the early period (50.2%) and in the late period, gastroesophageal reflux (52.2%) were the most common complications. Our mortality rate was 29.4%. Prematurity, concomitant anomalies, low birth weight, VACTERL association, chromosomal abnormalities, need for respiratory support, sepsis and long-range atresia were variables that affected mortality. The most common complications in the long term were gastroesophageal reflux, growth and developmental delay, respiratory system problems, dysphagia, scoliosis and thoracic deformity, and esophageal diverticulum.