Esophageal Atresia:I. Anastomotic Strictures Following Primary Surgical Management

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Abstract
Among 109 patients subjected to primary repair for esophageal atresia, there were 80 survivors and 31 of them developed strictures. Early onset of dysphagia was encountered in 22 patients. In the remaining 9, symptoms appeared several months after esophageal reconstruction. Twenty-five patients were treated by dilatations and six by operation; five with resection of the stricture and one with plastic revision and dilatation during operation. There were four fatalities in the entire series. One was directly related to instrumentation and three to the operative management of the strictures. Of the 27 survivors, 16 achieved a satisfactory esophageal lumen and became asymptomatic. Eight continued to have symptoms in spite of adequate anastomotic width. Three showed neither radiographic nor clinical improvement.