• Published
    18-01-2024
  • Issue
    Vol: 28 Issue: 01, 2024
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PROGNOSTIC IMPLICATIONS OF GAP LENGTH IN TRACHEOESOPHAGEAL FISTULA WITH ESOPHAGEAL ATRESIA CASES

  • Dr Achyuth Shivapur, Dr Advaith Shivapur, Dr Ravindra Khasnis

Keywords:- Esophageal atresia, gap length, tracheoesophageal fistula, pneumonitis.

ABSTRACT:-
Background and Objectives- This study was aimed at identifying factors which may affect the gap length in cases of esophageal atresia with tracheoesophageal fistula (EA-TEF) and whether gap length plays any role in determining the outcome. Methods- This was a prospective observational study conducted in a tertiary care hospital including all cases of gross type C EA-TEF from August 2021 to December 2023. In this study, the cases of pure EA were not included. The patient's age at operation, their sex, their gestational age, their birth weight, their parents' ages, the order of birth, any concomitant abnormalities, and the presence of polyhydraminos in the womb were all documented parameters. A total of 66 cases were studied. Epi-info 7 was used for analysis. Results- A total of 66 patients were divided in three groups based on gap length. As the gap length progresses the age at surgery also increases but it was not significant similar with gestational age and birth weight increases with gap length which was significant (p0.05). Most of the patients belonged between 2-2.5 kg weights. Among 66 patients 36 were females and 30 were males. Radiographic assessment shows tube arrest is more common at T2-T3 levels in group A while it was more common in T3-T4 levels are in group B and C and it was statistically significant. Conclusion- The gap length and birth weight exhibited a direct reciprocal relationship. Intraoperative gap length was linked with radiographic evaluation. Poorer results and a greater demand for postoperative ventilation were linked to longer gaps.