Esophageal atresia (EA) with or without trachea-esophageal fistula is relatively common congenital malformation with most patients living into adulthood. As a result, care of the adult patient with EA is becoming more common. Although surgical repair has changed EA from a fatal to a livable condition, the residual effects of the anomaly may lead to a lifetime of complications. These include effects related to the underlying deformity such as atonicity of the esophageal segment, fistula recurrence, and esophageal cancer to complications of the surgery including anastomotic stricture, gastroesophageal reflux, and coping with an organ transposition. This review discusses the occurrence and management of these conditions in adulthood and the role of an effective transition from pediatric to adult care to optimize adult care treatment.

伴或不伴气管食管瘘的食管闭锁 (EA) 是相对常见的先天性畸形，大多数患者都活到成年期。因此，成年 EA 患者的护理变得越来越普遍。尽管手术修复已将 EA 从致命状态变为可存活状态，但异常的残余影响可能会导致终生并发症。这些包括与潜在畸形相关的影响，例如食管段张力失调、瘘管复发和食管癌，以及手术并发症，包括吻合口狭窄、胃食管反流和应对器官转位。这篇综述讨论了这些疾病在成年期的发生和管理，以及从儿科到成人护理的有效过渡对优化成人护理治疗的作用。