The Indian Journal of Pediatrics

, Volume 63, Issue 6, pp 743–749 | Cite as

Influence of associated anomalies on the management of oesophageal atresia

  • S. W. Beasley
Symposium: Pediatric Surgery


Associated congenital abnormalities occur in over 50% of infants with oesophageal atresia. Many of them influence the way in which the oesophageal atresia is managed and therefore should be detected as soon as possible after birth. Early recognition of those with no prospect of long-term survival (e.g. Trisomy 18, bilateral renal agenesis) will avoid unnecessary surgery to the oesophagus. About 12% of oesophageal atresia infants will have no surgery performed. This paper presents a protocol for the initial investigation and management of associated anomalies in oesophageal atresia, based on an experience of 670 infants treated at the Royal Children’s Hospital, Melbourne, Pre-operative detection of associated anomalies of oesophageal atresia requires clinical examination, pre-operative renal ultrasound (if the child has not passed urine), and an echocardiograph of the heart to exclude duct-dependent lesions. If there is clinical suspicion of a major chromosomal abnormality, surgery should be deferred until chromosomal analysis has been completed.

Key words

Oesophageal atresia Associated anomalies Congenital heart disease Prognosis 


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  1. 1.
    Humphries GH. The surgical treatment of congenital atresia of the oesophagus.Surg 1944; 15: 801–823.Google Scholar
  2. 2.
    Haight C. Congenital atresia of the esophagus with tracheoesophageal fis-tula.Annals Surg 1944; 120: 623–655.CrossRefGoogle Scholar
  3. 3.
    Beasley SW, Myers NA. Trends in mor-tality in oesophageal atresia.Pediatr Surg Int 1992; 7: 86–89.CrossRefGoogle Scholar
  4. 4.
    Myers NA, Beasley SW, Auldist AW. Oesophageal atresia and associated anomalies: a plea for uniform documen-tation.Pediatr Surg Int 1992; 7 : 97–100.CrossRefGoogle Scholar
  5. 5.
    Myers NA, Beasley SW, Auldist AW (eds).Associated anomalies in oesophageal atresia. London:Chapman and Hall Medical, 1991 : 211–228.Google Scholar
  6. 6.
    Mee RBB. Congenital heart disease. In: Beasley SW, Myers NA, Auldist AW (eds).Oesophageal atresia. London : Champan and Hall Medical, 1991 : 229–239.Google Scholar
  7. 7.
    Beasley SW, Phelan E, Kelly JHet al. Uri-nary tract abnormalities in association with oesophageal atresia: frequency, sig-nificance and influence on management.Pediatr Surg Int 1992; 7 : 94–96.CrossRefGoogle Scholar
  8. 8.
    Waterston DJ, Bonham-Carter RE, Aberdeen E. Oesophageal atresia: tracheo-oesophageal fistula. A study of survival of 218 infants.Lancet1962; 1 : 819–822.PubMedCrossRefGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 1996

Authors and Affiliations

  • S. W. Beasley
    • 1
  1. 1.Royal Children’s HospitalParkville VICAustralia

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