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Factores pronósticos asociados a morbimortalidad quirúrgica en pacientes con atresia de esófago con fístula distal; experiencia de 10 años en un hospital de tercer nivel de la Ciudad de México. (Spanish)
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- Author(s): Bracho-Blanchet, Eduardo; González-Díaz, Vanesa; Dávila-Pérez, Roberto; Ordorica-Flores, Ricardo; Varela-Fascinetto, Gustavo; Lezama-del Valle, Pablo; Nieto-Zermeño, Jaime
- Source:
Boletín Médico del Hospital Infantil de México; jul/ago2007, Vol. 64 Issue 4, p204-213, 10p, 2 Charts- Subject Terms:
- Source:
- Additional Information
- Alternate Title: PROGNOSTIC FACTORS ASSOCIATED TO SURGICAL MORBIDITY AND MORTALITY IN TYPE III ESOPHAGEAL ATRESIA PATIENTS. EXPERIENCE OVER 10 YEARS IN A TERTIARY CARE CENTER. (English)
- Abstract: Introduction. The most used prognostic classifications in esophageal atresia are Waterston and Montreal. The purpose of this study was to search for prognostic factors for surgical complications such as dehiscence, refistulization, stenosis and mortality in our population. Methods. Retrospective case-control study on a series of type III esophageal atresia operated in our center over 10 years with a follow-up of at least 2 years. Statistically tests were chi square, Student's t test, and odds ratio. Results. Prognostic factors for mortality were gestational age, acidosis or pneumonia at admission, Waterston C and Montreal II classifications, and days of mechanical ventilation. Complications associated with ventilation were risk factors for dehiscence. This latter is in turn a risk factor for refistulization, and along with gastroesophageal reflux both are risk factors for esophageal stenosis. Conclusions. There are some specific factors in our population that enhance the risk of morbidity and mortality. [ABSTRACT FROM AUTHOR]
- Abstract: Introducción. Algunas de las clasificaciones pronósticas utilizadas en atresia esofágica son: Waterston y Montreal. El objetivo de este trabajo fue ubicar los factores de riesgo en nuestro medio para mortalidad y complicaciones quirúrgicas como dehiscencia, refistulización y reflujo gastroesofágico. Material y métodos. Estudio retrospectivo de casos y controles evaluando pacientes con atresia esofágica tipo III durante 10 años con dos años mínimo de seguimiento, para detectar los factores pronósticos tanto para morbilidad como mortalidad. Para el análisis estadístico se utilizó chi cuadrada, t de Student y razón de momios. Resultados. Se encontraron factores pronósticos para mortalidad: edad gestacional, acidosis al ingreso, neumonía, Waterston C, Montreal II y días de ventilación. Las complicaciones de ventilación son factor de riesgo para dehiscencia; ésta lo es de refistulización y junto con enfermedad por reflujo ocasiona estenosis esofágica. Conclusiones. Hay factores propios de nuestra población que son pronósticos tanto para morbilidad como mortalidad. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Boletín Médico del Hospital Infantil de México is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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