Christophe Faure


Update On Oesopghageal Atresia Tracheoesophageal Fistula à

Edited By
Usha Krishnan &
Christophe Faure

Publisher : Frontiers, Lausanne

With improvements in surgical techniques and perioperative care, survival rate now exceed 90% and OA-TOF is no more just a neonatal surgical problem, and the focus has now shifted from mortality to morbidity with focus on long-term survival and quality of life issues. The primary complications experienced by these patients include gastroesophageal reflux, peptic and eosinophilic esophagitis, anastomotic stricture, esophageal dysmotility, abnormal gastric function, feeding difficulties and  respiratory disorders including tracheomalacia and “cyanotic spells”. Concerns in adults include oesophageal adenocarcinoma and epidermoid carcinoma which have been recently reported. This highlights the need for careful multidisciplinary follow up not only in childhood but also after transition to adulthood. Data regarding longterm outcomes and follow-ups are limited for patients following OATOF repair. The determination of the risk factors for the complicated evolution following OA-TOF repair may positively impact long-term prognoses. This e-book contains review articles and position paper on all aspects of management of this condition.The material  presented in the following articles is primarily based on the presentations by world experts during the recent Fourth International Conference on Oesophageal Atresia held in Sydney in 2016.                                           Download