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[Surgery]
Rustam Faridovich Mukhametshin; Nikita V. Toropov; OlgaTenyakova Gabdrakhmanova;
Esophageal atresia (EA) is the most common congenital abnormality of the oesophagus. The survival rate of patients with this defect varies from 86.9 % to 95 %. Seventy eight newborns with EA were treated from 2011 to 2017; 58.9 % were male children, 48.7 % were premature, 51.3 % had associated anomalies. Mortality was 10.25 % and was associated with severe prematurity and sepsis. Direct esophagoesophagoanastomosis was formed in 60 (76.9 %) children, cervical esophagostomy with gastrostomy – in 17 (21.8 %) children. Postoperative morbidity occurred in 76,9 % of the population, including 4 (6.7 %) cases with anastomotic leak and anastomotic stricture in 43 (71.7 %), in those patients, who had anastomosis; recurrent fistula in 2 (2.6 %), pneumonia in 22 (28.2 %) and late-onset sepsis in 13 (16.7 %). Our study also highlights issues related to respiratory support, nutritional support and antibiotic therapy. integrated approach has improved the quality andlevel of specialized care for children with EA.
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Keywords: еsophageal atresia, neonatal surgery, neonatal intensive care