Long-term impact of anastomotic leakage following esophageal atresia repair: feeding outcomes, esophageal morbidity, and reinterventions - Takeaways - MDSpire

Long-term Consequences of Anastomotic Leakage After Repair of Esophageal Atresia: Feeding Results, Esophageal Complications, and Need for Reoperations

  • By

  • Suhyeon Ha

  • Hyunhee Kwon

  • Soo-Min Jung

  • Jung-Man Namgoong

  • Yong Jae Kwon

  • July 20, 2026

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  • 1

    Anastomotic leakage occurred in 25.2% of patients after esophageal atresia repair, leading to significant postoperative complications.

  • 2

    Patients with anastomotic leakage had a higher incidence of anastomotic stricture compared to those without leakage (78% vs. 57%).

  • 3

    Delayed feeding progression was observed in patients with leakage, with longer times to feeding initiation and full feeding.

  • 4

    Unplanned reoperations were more frequent in the leakage group, occurring in 31% compared to 11% in the non-leakage group.

  • 5

    Anastomotic leakage was independently associated with gastroesophageal reflux disease after adjusting for covariates.

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