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Results for “INTESTINAL ATRESIA”

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At least 991 records · Page 55Linked to original sources
PubMed1997

Does duodenal atresia and stenosis prevent midgut volvulus in malrotation?

Thirty-six of the 64 (56%) neonates with duodenal atresia and stenosis who were retrospectively reviewed had associated malrotation. A volvulus neonatorum (age: <28 days) was not encountered among these patients. Can the duodenal atresia and stenosis act as a flood gate mechanism, in the prevention of volvulus in these children?

Duodenal Obstruction↗
PubMed1998

Segmental defect of the intestinal musculature associated with ileal atresia and biliary atresia.

A full-term baby boy with a segmental defect of the ileal musculature associated with terminal ileal and biliary atresia is presented. The newborn had a dilated loop of the ileum 30 cm proximal to the ileal atretic site. Pathological study results showed absence of the intestinal musculature with relatively intact mucosa. Foci of recent muscular necrosis were found in the lesion. One month later, relaparotomy was performed because of persistent jaundice and hepatic duct atresia was confirmed. Segmental defect of the intestinal musculature associated with ileal atresia and biliary atresia has not been reported in the literature. The authors emphasize that in the management of this unusual defect, one should pay attention to the multiple associated malformations.

Abnormalities, Multiple↗
PubMed1987

Congenital colonic atresias.

8 cases of congenital colonic atresias treated between 1968 and 1985 are presented. Questions regarding the aetiology of this rather rare anomaly are discussed. The interference with the mesenteric blood supply often as a result of intrauterine abdominal accidents seems to be a plausible explanation for most cases. We saw a high incidence of associated malformations not stated by other authors. Classification of atresias, diagnostic proceedings and operative management are discussed. The mortality of 50% can probably be lowered by the progress in total parenteral nutrition.

Colon↗
PubMed2005

Isolated fetal ascites caused by bowel perforation due to colonic atresia.

An isolated fetal ascites is a rare ultrasonographic finding. It is commonly diagnosed in association with fetal genitourinary or gastrointestinal conditions, mainly bowel obstruction. We present the sonographic features and neonatal outcome of a fetus with a large bowel obstruction, perforation and subsequent development of meconium peritonitis, prenatally diagnosed as isolated fetal ascites. A colonic atresia should be also included in the differential diagnosis of isolated fetal ascites.

Adult↗
PubMed1987

Jejunal atresia secondary to intrauterine intussusception, presenting as acute perforation.

Intussusception in neonates is rare. The authors report the second case in the Western literature of neonatal intussusception presenting as pneumoperitoneum. A male infant was referred 30 hours after birth because of possible midgut volvulus after emesis and failure to pass meconium. An abdominal x-ray film revealed a large amount of free air in the peritoneal cavity. At operation a type 3 jejunal atresia was found, with a 2-mm perforation in the dilated proximal end and a viable intussusceptum just inside the distal end. The authors conclude that this case represents an atresia secondary to inutero intussusception, with perforation occurring after birth (secondary to air-swallowing and gastrointestinal secretions).

Acute Disease↗
PubMed1977

Congenital intrinsic duodenal obstruction: a twenty-five year review.

From 1951 through 1975, 72 patients with congenital intrinsic duodenal obstruction were seen at the Childrens Hospital of Los Angeles. The survival rate was 55% during the first 15 years of the study, but this has increased to 88% during the last 10 years. Factors important to this increased survival rate include: earlier diagnosis and expeditious preoperative workup; expert administration of anesthesia; improved surgical technique with a greater awareness for common pitfalls, such as associated duodenal diaphragm or distal bowel atresia; frequent use of gastrostomy; use of parenteral nutrition; and better intensive nursing care.

Birth Weight↗
PubMed1979

Congenital colonic atresia and stenosis.

Five more cases are added to the 88 reported cases of successfully treated newborns with congenital colonic atresia and stenosis. Because colonic atresia and stenosis are lethal conditions when untreated, early diagnosis and operative treatment are major requisites for survival. A two-stage procedure consisting of an emergency colostomy for decompression as the first stage and an elective resection with anastomosis a few months later is recommended. The need for thorough exploration of the abdomen is emphasized because atresias may be multiple or may be associated with additional gastrointestinal anomalies.

Child↗
PubMed2004

Laparoscopy-assisted surgery for prenatally diagnosed small bowel atresia: simple, safe, and virtually scar free.

PURPOSE: The aim of this study was to describe a new technique for the surgical management of prenatally diagnosed small bowel atresia. METHODS: Under general anesthesia, a 5-mm trocar was inserted using an open technique through an intraumbilical incision. The proximal atretic bowel end was identified using laparoscopy and mobilized toward the umbilicus using an additional 3-mm trocar inserted in the left lower quadrant. The umbilical trocar then was removed, and a ring retractor was inserted into the trocar site and used to expand the wound to deliver both atretic bowel ends. The bowel was repaired and returned to the abdomen through the umbilical wound. The umbilical fascia and skin were closed conventionally. RESULTS: Three patients were reviewed. Two had minimal abdominal distension, and the atretic bowel ends could be identified easily; laparoscopy-assisted surgery was successful. The third case had significant dilatation, and laparotomy was required. Postoperatively, there was minimal abdominal scarring, and the umbilicus was normal in appearance. CONCLUSIONS: Although this experience is limited to 3 patients, this technique is simple, safe, and virtually scar free and can be applied for the treatment of neonates with prenatally diagnosed small bowel atresia, especially if there is minimal abdominal distension at birth.

Cicatrix↗
PubMed1994

Jejunal obstruction as a late result of neonatal jejunal atresia.

The authors report on two adults who had jejunal dilatation after having had resection for jejunal atresia in the neonatal period. Both patients presented 20 years after the initial procedure, with severe iron deficiency anemia, marked jejunal dilatation proximal to the old anastomotic site (which was not narrowed), and a bezoar within the dilated segment. Upper gastrointestinal series were used to evaluate both patients before surgical resection of the enlarged intestine, with subsequent correction of the anemia.

Adult↗
PubMed1979

New perspectives in fetal surgery: the chicken embryo.

After a short literature a review a comparison is made between the development of the human digestive tract during the second trimester of gestation and that of the chick embryo (Gallus domesticus) during the last week of incubation. The surgical procedure for chick embryosis is discussed in connection with the the study of the pathogenesis of small bowel atresia and meconium peritonitis. The results corroborate that the chick embryo is a valuable laboratory animal in experimental fetal surgery.

Animals↗
PubMed1975

[Clinical picture and therapy of gastroschisis (author's transl)].

The results of operative treatment of gastroschisis have been improving in recent years. The survival rate is now between 50 and 60 p.c. It is very important to perform primary repair as soon as possible after birth. According to our own experiences resection of the bowel should be avoided as it gives a poor prognosis. Combined malformations of gastroschisis are very rare and their treatment should be tired since there is no other alternative. An own successfully treated case of combined malformations of gastroschisis with atresia of the small bowel is presented. Stenosis of the duodenum and tubular duplication are described

Abdominal Muscles↗