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Chapter
Diagnosis
Occasionally, the diagnosis of oesophageal atresia may be suspected before birth, but in the vast majority the diagnosis cannot be made with certainty until after birth. In patients with oesophageal atresia it...
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Chapter
Anaesthesia and perioperative care
The overall results of correction of oesophageal atresia, with or without fistula, improved considerably with progress in neonatal anaesthesia and the evolution of paediatric intensive care in the 1960s, which...
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Chapter
Tracheo-oesophageal fistula: the ‘H’ fistula
Tracheo-oesophageal fistula without atresia (Figure 13.1) presents a different clinical spectrum from the congenital oesophageal anomalies already described because the oesophagus is intact and patent. By comm...
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Chapter
The early history of oesophageal atresia and tracheo-oesophageal fistula
The history of oesophageal atresia extends over three centuries and contains many fascinating accounts of the anomaly. Initially, these accounts described the clinical presentation and pathology, but as time p...
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Chapter and Conference Paper
Introduction
Although various opinions are expressed regarding a special place for thoracic operations in children, no one should argue with the recognition of the increasing importance of this subspecialty. As time has pa...
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Chapter
Associated anomalies
Reference to associated anomalies in oesophageal atresia started with its first description in 1670 when Durston documented oesophageal atresia in one of conjoined twins (Durston, 1670). Later, Hill (1840) rep...
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Chapter
Trends in mortality
Until 1939, oesophageal atresia was considered a uniformly fatal condition. Nowadays, all patients with oesophageal atresia are expected to survive almost irrespective of their gestation, provided there are no...
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Chapter
Epidemiology and genetics
Although oesophageal atresia and tracheo-oesophageal fistula are relatively common birth defects, little is known of their genetics and epidemiology. Most cases have been sporadic with occasional reports of fa...
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Chapter and Conference Paper
Unusual Problems in Oesophageal Surgery in Childhood
Unusual problems in oesophageal surgery in childhood include problems seen both frequently and infrequently. The former includes oesophageal atresia, peptic oesophagitis and corrosive oesophagitis; the latter ...
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Chapter and Conference Paper
An Approach to the Management of Chest Wall Deformities
Chest wall deformities are seen frequently in children and adolescents. Fortunately, the deformity is usually mild and the only therapeutic requirement is patient and family reasurance. If the deformity is mor...
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Chapter
Oesophageal replacement
With few exceptions, correction of oesophageal atresia by oesophago-oesophageal anastomosis produces a long-term result superior to any form of oesophageal replacement. Even in the presence of a ‘long gap’ sat...
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Chapter
The History of Oesophageal Atresia and Tracheo-Oesophageal Fistula — 1670–1984
As this is the history of oesophageal atresia, it is appropriate and virtually obligatory to commence with reference to two classical contributions — that of Durston [31] in 1670 and that of Gibson [46] in 169...