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Results for “INTESTINAL ATRESIA”

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At least 811 records · Page 45Linked to original sources
PubMed1983

The surgery of malrotation and midgut volvulus: a nine year experience in neonates.

Thirty four neonates presented with acute duodenal obstruction due to malrotation during a 9 year period between 1973 and the end of 1981. Of these, 20 patients (58.8%) presented in the first week of life, and 24 (70.5%) had an associated midgut volvulus. This frequent association is stressed as bowel necrosis occurs very rapidly. Massive gangrene of small bowel was present in 5 patients, extensive resection was necessary in 3 patients, of whom 2 died postoperatively (5.8%). Five patients required reoperation and 10 had additional G.I. malformations (29.4%).

Acute Disease↗
PubMedDate not supplied

[The most important abdominal surgical emergencies in the newborn].

The neonatal period should be considered, in itself, as one of high risk, due to its natural anatomical and physiological lability. It is in this age, when characteristic pathological processes do occur, mainly digestive abnormalities, neonatal nectrotizing enterocolitis, Hirschsprung's disease and others. The authors report a four years statistical analysis in the Pediatric Surgery Service of the General Hospital "La Raza" Medical Center. There were 126 patients operated in the neonatal period. The treatment given in each case and the results obtained were compared with reports from the international literature.

Colostomy↗
PubMed1978

[Late results of the interintestinal anastomosis condition after congenital obstruction of the small intestine].

The data concerning the late results of resection of the small intestine carried out for congenital small intestine ileus in 43 newborns are set forth. The results of an experimental study on 75 puppies subjected to resection of the small intestine with application of various anastomoses are covered in the article. The evaluation of late results suggests that end-to-end anastomosis is the best one; end-to-side anastomosis gives fair results, while side-to-side anastomosis is the least physiological one as it results in the formation of big "blind ducts", and the longlasting stasis of intestinal contents in these "blind ducts" leads to the development of various complication. The children, who underwent the small intestine resection, should be under dispensary and periodic clinical observation.

Adolescent↗
PubMed1980

[Perforations of stomach and bowel in the newborn, postoperative problems (author's transl)].

There has been an obvious reduction in mortality in cases of neonatal gastrointestinal perforation in a 21 year period. However, in the past 5 years, even compared with the world literature, no significant improvement has been achieved. The significant complications in the post-operative period are related to the intensive care of these patients and further progress can only be made by increased collaboration between paediatricians and paediatric surgeons to achieve such optimal intensive care.

Enterocolitis, Pseudomembranous↗
PubMed1980

[Ethics problems in neonatal medicine].

In view of the recent advances in reanimation of the newborn infant, parents, physicians and nursing staff have now to face the ethical dilemma of the quality of the surviving infant with severe brain damage which excludes a further normal development. The author discusses the situation of an infant with trisomy 21 and a total intestinal atresia: a surgical intervention leads to a living human being with a severe mental, and physical handicap; a non-intervention will let the newborn die even if he could be saved. The decision has to be made with the parents in agreement with the nursing staff, but without involving a policy making outside committee.

Child Development↗
PubMed1994

[Long-term results of treatment of children with severe congenital intestinal obstruction].

A total of 295 children were operated on for severe ileus. The late outcomes of treating 88 children were studied for some months to 18 years. The assessment of the therapy results, the detection of causes of complications and the determination of the functional status were made by using a complex of study methods. Thirty-one children required surgical correction of complications. Five groups of children were identified and complications and reconstructive surgical techniques were determined and characterized.

Adolescent↗
PubMed1993

Simultaneous laparotomy and intraoperative endoscopy for the treatment of high jejunal membranous stenosis in a 1-year-old boy.

A 1-year-old boy with high jejunal membranous stenosis was successfully treated "a minima" by antimesenteric longitudinal enterotomy over the diaphragm, excision of the latter, and transverse closure of the bowel. This was made possible by use of simultaneous peroperative endoscopy, which allowed exact localization of the diaphragm. Peroperative endoscopy is a useful and accurate method for this purpose and should be considered in similar cases.

Humans↗
PubMed1996

Surgical conditions of the neonatal intestinal tract.

Many different pathophysiologic conditions can affect the neonatal intestinal tract and ultimately require surgical intervention. The symptomatology is primarily that of bowel dysfunction and obstruction. A thorough understanding of these disease processes is necessary of the managing physician. With this knowledge, a systematic course of resuscitation, evaluation, and treatment can be instituted, usually with predictably gratifying results for patient, family, and physician alike.

Duodenal Obstruction↗
PubMed1997

[Green amniotic fluid as initial symptom of high intestinal obstruction in infants].

At the birth of two children the amniotic fluid was green colored. The Apgar scores were good. Because of bilious vomiting and food retention, respectively, an open stomach tube was inserted, out of which bilious stomach contains were drained. The cause of green amniotic fluid was not meconium production or infection with Listeria monocytogenes, but mixing with green bile. At further investigation the children both proved to have a high intestinal obstruction distal of the papilla duodeni major.

Amniotic Fluid↗
PubMedDate not supplied

[An unusual course of fetal gastroschisis].

We report on prenatal diagnosis of gastroschisis at 20th gestational week. In addition to gastroschisis intraabdominal intestinal stenosis was detected. As a consequence cesarean section was planned close to term. Control examinations in the last trimester didn't confirm initial diagnosis so that the recommended mode of delivery was changed. However postpartum diagnosis again confirmed the early diagnosis of gastroschisis including spontaneous necrosis of dislocated intraamniotic intestinal parts. The course demonstrates that even at unambiguous prenatal diagnosis control examinations are recommended as dynamic changes may occur in the second and third trimester. Thus mode of delivery may have to be adapted close to term to reduce maternal risk.

Abdominal Muscles↗
PubMedDate not supplied

Gastroschisis: a ten year review.

From 1983 to 1993, 30 cases of gastroschisis were managed at the Mayaguez Medical Center. Ninety percent of these patients underwent primary closure of their abdominal wall defect. Three of 30 patients (10%) required silastic or goretex silos with final closure in an average of 8 days. There was no sex predilection, the average birth weight was 2.4 kg and the mean gestational age was 36 weeks. Thirty percent had associated anomalies, the majority were intestinal atresia, and/or undescended testicles. Twenty one (70%) of infants were delivered vaginally. Nine children (30%) were delivered via cesarean section. Four cesarean sections were done solely after prenatal ultrasonic identification of gastroschisis. There was no improvement in hospital stay, complications, or days until enteral feeds were tolerated when vaginally delivered patients were compared to those born by c-sections. In seven patients mesh sheeting (Marlex) was used for closure of late hernia defects. The mean hospital stay was 50 days and the mean time to enteral feedings 20 days. All patients required postoperative mechanical ventilation for an average of 4 days. There was no mortality. Our data and review of the literature do not support gastroschisis prenatal diagnosis as a sole indication for cesarean section. Our data showed favorable prognosis for most babies. Primary fascial closure can be accomplished safely in the majority of patients. No single operative strategy is ideal for all patients, and treatment of individual defects should be tailored to the degree of visceroabdominal disproportion.

Abnormalities, Multiple↗