Oesophageal atresia: NICH experience

ABSTRACT

Nineteen patients of oesophageal atresia with and without tracheo-oesophageal fistula were managed at the National Institute of Child Health [NICH] between 1st January, 1995 and 31st October, 1995. Only four patients were referred within 24 hours of birth. Eight [42.11%] patients had associated anomalies. None of the patients belonged to the Waterston's risk category A. Three patients died before operation. Seven [36.84%] patients survived following operation, of which three had associated anomalies. Frothing at the mouth, which is a tell-tale sign of oesophageal atresia, went unrecognized in a large number of cases. A simple known diagnostic technique of demonstrating oesophageal atresia is highlighted to ensure early referral in the future - the key to survival