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EVALUATION OF THE FIRST YEAR DATA OF TURKISH ESOPHAGEAL ATRESIA REGISTRY

Akgün Oral1, Tutku Soyer2*, Ibrahim Akkoyun3, Müjdem N. Azılı4, Çiğdem U. Durakbaşa5, Ayşe Karaman6, Gulnur Gollu7, Önder Özer8, Emre Divarci9, Sonay Yalcin10, Gonca T. Tekant11, Hüseyin İlhan12, Ünal Güvenç13, Gürsu Kıyan14 and Mithat Günaydın15
  • 1 Atatürk University Faculty of Medicine, Pediatric Surgery, Türkiye
  • 2 Hacettepe University Faculty of Medicine, Pediatric Surgery, Türkiye
  • 3 Konya Reserach Hospital, Pediatric Research, Türkiye
  • 4 Ankara Children research and health hospital, Pediatric Surgery, Türkiye
  • 5 İstanbul Medeniyet University Faculty of Medicine, Pediatric Surgery, Türkiye
  • 6 Dr Sami Ulus Education and Research Hospital, Pediatric Surgery, Türkiye
  • 7 Ankara University Faculty of Medicine, Pediatric Surgery, Türkiye
  • 8 Çukurova University Faculty of Medicine, Pediatric Surgery, Türkiye
  • 9 Ege University Faculty of Medicine, Pediatric Surgery, Türkiye
  • 10 Karadeniz Technical University Faculty of Medicine, Pediatric Surgery, Türkiye
  • 11 İstanbul University Cerrahpaşa Medical Faculty, Pediatric Surgery, Türkiye
  • 12 Eskişehir Osmangazi University Faculty of Medicine, Pediatric Surgery, Türkiye
  • 13 İstanbul Kanuni Education and research hospital, Pediatric Surgery, Türkiye
  • 14 Marmara University Faculty of Medicine, Pediatric Surgery, Türkiye
  • 15 Ondokzu mayıs University Faculty of Medicine, Türkiye

Introduction/Aim: To evaluate the first year data of Turkish Esophageal Atresia Registry (TEAR). Methods: Patients registered to TEAR between March-2015/April-2016 were evaluated for age, sex, demographic features, type of atresia, diagnostic methods and results of surgical treatment. Results: Hundred cases from 15 centers were included. Male-female ratio was 54:46 and mean birth weight was 2256,28 g (870-3920 g) and height was 45 cm (33-52 cm). Mean gestational week was 35,4 weeks (28-41 weeks) and mother age was 28.7 years (18-44 year). The types of atresia according to Gross classification were 14%-A, 4%-B, %80-C and 2%-D. 91% of cases were born after spontaneous pregnancy and 3 of them were twins. Prenatal diagnosis was obtained in 34% of cases. Most common prenatal findings were polyhydramnios (45%) and absence of stomach gas (13%). Family history of VATER was seen in 3 cases. The incidance of associated anomalies was 75% and most common anomalies were cardiac (65%), renal (13%) and anorectal (12%). Primary anastomosis was obtained (n:82) with thoracatomy (n:78) and thoracoscopy (n:4). Standard repair was performed in 64 cases whereas 39% of them were tensioned. The mean gap was 2.26 vertebral body (1-5). Foker’s technique and Livaditis was performed in one case. Gastric pull-up, colonic interposition and cervical esophagsotomy were performed in one patient each. Mean endotracheal entubation and non-invasive ventilation time were 15.16 (0-210) and 67.22 (0-200) days respectively. After a mean time of 109 (9-200) days patients were free of oxygen. Gastrostomy (n:27), antireflux surgery (n:1) and aortopexy (n:1) was performed. 60% of patients discharged form hospital with full oral feeding and 25% with enteral feeding. The survival rate was 78% and mortality was 22% at the end of first month. Seven cases waiting for delayed primary repair have been following up at home (n:4) and at hospital (n:3). The data obtained form TEAR is the first national data about EA in our country. If more centers will register, it will be possible to define the current outcome of EA in Turkey and compare the results with the international data.

Keywords: Esophageal Atresia, Registery, Children, Turkey, collobration

Conference: 4th International Conference on Oesophageal Atresia / 15-16 September 2016 / Sydney Australia, Sydney, Australia, 15 Sep - 22 Nov, 2016.

Presentation Type: Poster

Topic: Registry and research collaboration in OA

Citation: Oral A, Soyer T, Akkoyun I, Azılı MN, Durakbaşa ÇU, Karaman A, Gollu G, Özer Ö, Divarci E, Yalcin S, Tekant GT, İlhan H, Güvenç Ü, Kıyan G and Günaydın M (2017). EVALUATION OF THE FIRST YEAR DATA OF TURKISH ESOPHAGEAL ATRESIA REGISTRY. Front. Pediatr. Conference Abstract: 4th International Conference on Oesophageal Atresia / 15-16 September 2016 / Sydney Australia. doi: 10.3389/conf.FPED.2017.01.000015

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Received: 13 Sep 2016; Published Online: 11 Dec 2017.

* Correspondence: MD. Tutku Soyer, Hacettepe University Faculty of Medicine, Pediatric Surgery, Ankara, Türkiye, soyer.tutku@gmail.com