INoEA 2025 7th International Conference on Esophageal Atresia & 11th International PAAFIS Symposium & Aerodigestive Society Meeting

View Abstract
  1. Home
  2. Congresses
  3. Congress Home
  4. Abstract

Poster - 46

Surgical strategies and outcomes in newborns with esophageal atresia and tracheoesophageal fistula associated with duodenal atresia

Dominika Borselle, Sylwester Gerus, Dariusz Patkowski
Department of Pediatric Surgery and Urology, Medical University and Hospital in Wroclaw, Poland

Introduction: This study aims to review the management and outcomes of esophageal atresia and tracheoesophageal fistula (EA/TEF) associated with duodenal atresia (DA) and to determine the optimal surgical strategy.

Methods: A retrospective analysis was conducted on EA/TEF patients treated between 2005 and 2023 at high-volume center. Demographic data, clinical characteristics, surgical interventions and outcomes were collected and compared.

Results: A total of 11 patients with EA/TEF and accompanying DA were included. All patients presented with type C EA/TEF. Median birth weight was 1850 g. All patients were diagnosed preoperatively with EA/TEF and DA. 2/11 patients had VACTERL association. EA/TEF repair was performed thoracoscopically in all cases. DA repair was performed laparoscopically in 9/11 patients and as open approach in 2/11 newborns. Surgical management strategies included:

  1. One-stage EA/TEF and DA repair in 2/11
  2. A multi-stage approach in 9/11 patients, which involved:
    • Strategy 1: TEF closure and esophageal anastomosis in the first stage, followed by laparoscopic duodenal anastomosis in the second stage (7/11)
    • Strategy 2: TEF closure and open duodenal anastomosis in the first stage, followed by esophageal anastomosis in the second stage (2/11).

Gastrostomy was performed in 2/11 patients: in one later due to feeding difficulties and in another low-birth-weight newborn during the initial surgery to facilitate early enteral feeding. The median interval between stages was 4,5 days. There was no surgery-related mortality. There were no duodenal and esophageal leakage and no need for fundoplication among the analyzed patients

Conclusions: Staged minimally invasive repair appears to be a safe, feasible and preferred surgical strategy for neonates with EA/TEF and associated DA.

Keywords:

Dominika Borselle, Sylwester Gerus, Dariusz Patkowski
Department of Pediatric Surgery and Urology, Medical University and Hospital in Wroclaw, Poland
Keywords:

Close