Congenital airway anomalies and syndromes associated in newborns with esophageal atresia

• Main Authors: Claudia Norambuena (Author), Patricio Varela (Author), Yovanca Ramírez (Author), Eduardo Leopold (Author), Jorge Godoy (Author), Alvaro Weibel (Author)
• Format: Book
• Published: Elsevier, 2024-10-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2949-7116; 10.1016/j.yjpso.2024.100167
• Keywords: IV Prognosis study; Pediatrics; RJ1-570; Surgery; RD1-811
• Source: Journal of Pediatric Surgery Open, Vol 8, Iss , Pp 100167- (2024)

Objective: This study aims to define the associated comorbidities, syndromes and anatomic findings in newborns with esophageal atresia using bronchoscopy. Method: Retrospective analysis of the database was performed on patients that underwent surgery with esophageal atresia or tracheoesophageal fistula diagnosis between 2016 and 2023 in Dr. Luis Calvo Mackenna Children´s Hospital in whom an airway study was done with rigid laryngotracheoscopy. Demographic data, comorbidities and airway anomalies were registered. Results: Data from 37 patients was analyzed. Comorbidities were present in 62.1 % of the patients. Airway anomalies such as tracheomalacia, laryngomalacia, tracheal diverticulum, congenital tracheal stenosis and cleft were present in 56.75 % of the patients. 72.9 % of the patients had Type C EA and in 32.4 % of the cases tracheoesophageal fistula was located at the carina. Conclusion: In the last 7 years we have done an airway study in 82.2 % of newborns with esophageal atresia. There is a high percentage of patients with airway anomalies, therefore we consider the importance of performing an endoscopic airway study in all patients with EA.