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At least 1,423 records · Page 79Linked to original sources
PubMed1992

Radiological assessment of duodenal calibre in congenital duodenal obstruction.

A review of barium meal studies in 32 cases of congenital intrinsic duodenal obstruction (CDO) from the Adelaide Children's Hospital was performed to assess and measure pre and post operative duodenal dilatation. Comparisons were made with a group of 153 normal barium studies from the same Hospital with a view to quantifying normal and abnormal proximal duodenal calibre. Duodenal size was expressed as a ratio D1/L1, (diameter of 1st part of duodenum/height of first lumbar vertebra). In this study a normal range of duodenal diameter was found to be 0.90 to 1.62 (+/- 2 SD from mean), with a mean of 1.26. The CDO patients recorded a range of postoperative ratios on first follow-up barium studies of between 1.2 and 4.5 with a mean of 2.28. Where serial studies had been performed, duodenal diameter was found to show some decrease in size postoperatively. In patients who underwent surgery for membrane obstruction there was a trend towards normalisation of duodenal diameter over time, compared with the atresia group. However, this difference did not reach statistical significance.

Barium Sulfate↗
PubMed1978

Prenatal demonstration of gastric and duodenal obstruction by ultrasound.

Prenatal sonographic findings in one case of gastric obstruction due to an imperforate antral diaphragm and in one case of duodenal atresia are presented. The combination of either one or two prominent sonolucent areas in the upper or mid fetal abdomen and polyhydramnios is virtuallydiagnostic of high obstruction.

Adult↗
PubMed1988

Individualized management of colonic atresia.

Atresia of the colon represents the least common cause of neonatal intestinal obstruction, comprising less than 10 percent of gastrointestinal atresias. Eleven patients underwent surgical repair of colonic atresia during a 5 year period. Five of the patients were premature. Two had associated gastroschisis and other congenital anomalies were present in three patients. Hypaque enema was utilized to diagnose intestinal atresia and laparotomy was then undertaken. Primary repair could be performed in four patients, one with type I and three with type 3 atresias. These four patients did well and were discharged within 13 days after operation. Three deaths occurred in patients with associated anomalies, yielding a mortality rate of 28 percent. Operative therapy of colonic atresia should be individualized, based on the condition of the patient at presentation and the presence of associated birth defects.

Anastomosis, Surgical↗
PubMed1993

Prenatal diagnosis of colon atresia.

We report a case of colon atresia diagnosed pre-natally at 32 weeks' gestation. The fetal transverse colon was dilated. Complete atresia of the middle transverse colon was confirmed after birth. Small bowel dilatation (and clinical obstruction) did not develop until after 24 h of age.

Adult↗
PubMed1990

Jejunal atresia in twins.

In the past 2 1/2 years a sudden increase in the frequency of jejunal atresia in discordant, nonidentical twins was observed. Reported are the details of 11 cases and some reflections on possible pathogenetic mechanisms involved.

Diseases in Twins↗
PubMed2004

Double atresia of hindgut with ileal stenosis: a case report.

An unusual case of imperforate anus with sigmoid colonic atresia and ileal stenosis is described. Only six cases of imperforate anus associated with colonic atresia have previously been reported in Japan. The possibility of other alimentary obstructions should thus be considered when anorectal anomalies are observed.

Abnormalities, Multiple↗
PubMed1977

Congenital atresia of the colon.

Atresia of the colon is a rare congenital anomaly. In 1673, Binninger reported the first case of colonic atresia and Gaub reported the first survival of a patient with this anomaly in 1922. Since that time there have been 97 successfully managed patients described in the literature.

Colon↗
PubMed1992

[Duodenal atresia and heterotaxia].

We report two cases of duodenal atresia associated with corporal symmetry changes. The one of them presented a "situs inversus total" and the other one a Ivermak syndrome. The association between duodenal atresia and Ivermak syndrome has a very low incidence. We have not found references with respect to the association between duodenal atresia and "situs inversus totalis". The embryo-genetic hypothesis that could relate both anomalies are discussed. Perhaps are not caused by chance.

Abnormalities, Multiple↗
PubMed2000

Laparoscopic duodenoduodenostomy for duodenal atresia.

A 3,220-g newborn baby with trisomy 21 presented with duodenal atresia. No other congenital malformations were diagnosed. Informed consent for a laparoscopic approach was obtained. The child was placed in a supine, head-up position slightly rotated to the left at the end of a shortened operating table. The surgeon stood at the bottom end with the cameraperson to his left and the scrub nurse to his right. The screen was at the right upper end. Open insertion of a cannula for a 5-mm 30 degrees telescope through the inferior umbilical fold was performed. A carbon dioxide (CO2) pneumoperitoneum with a pressure of 8 mmHg and a flow of 2l/min was established. Two 3.3-mm working cannulas were inserted; one in the left hypogastrium and one pararectally on the right at the umbilical level. Two more such cannulas were inserted; one under the xyphoid for a liver elevator and one in the right hypogastrium for a sucker. Mobilization of the dilated upper and collapsed lower duodenum was easy. After transverse enterotomy of the upper duodenum and longitudinal enterotomy of the distal duodenum, a diamond-shaped anastomosis with interrupted 5 zero Vicryl sutures were performed. The absence of air in the bowel beyond the atresia increased the working space and greatly facilitated the procedure. The technique proved to be easy, and the child did very well. Laparoscopic bowel anastomosis in newborn babies had not been described previously. Recently, a diamond-shaped duodenoduodenostomy for duodenal atresia was performed. The technique proved to be simple and is described in detail. The child did very well.

Down Syndrome↗
PubMed2006

Imperforate anus and colon atresia in a newborn.

Imperforate anus is an uncommon congenital anomaly. Colon atresia is even more infrequent. This report describes a newborn with the simultaneous occurrence of these 2 anomalies, a condition that is exceedingly rare.

Abnormalities, Multiple↗
PubMed1996

Familial arhinia, choanal atresia, and microphthalmia.

We describe two females (aunt and niece) with variable manifestations of arhinia, choanal atresia, microphthalmia, and hypertelorism. In the literature there is only one report on this syndrome in sibs. We hypothesize autosomal dominant inheritance with reduced penetrance.

Adolescent↗
PubMed1997

Anorectal malformation with ileal atresia.

A low-type anorectal malformation associated with ileal atresia is described. It was very difficult to classify the anorectal malformation due to the presence of ileal atresia. Such anomalies are rare. A review of the literature on previously reported cases in Japan is presented. The possibility of other alimentary obstructions should be considered when anorectal anomalies are present.

Anus, Imperforate↗
PubMed1996

Familial jejunal atresia with renal dysplasia.

Although jejunal atresia occasionally may occur with a familial pattern, an association with renal disease has not been described. The authors report on three family members treated over two generations, all of whom had both proximal jejunal atresia and renal dysplasia. This association was most likely inherited as an autosomal dominant trait.

Adult↗
PubMedDate not supplied

[Prenatal ultrasonic diagnosis of jejunal atresia].

The case of a fetal jejunal atresia diagnosed by ultrasound in the 34th gestational week is reported. Typical ultrasonic findings are presented. Polyhydramnios, that usually can be observed, was not existent. The different types of jejunal atresia are discussed with regard to the diagnostic and therapeutic possibilities. Early prenatal diagnosis in this case has brought along an optimal postpartal therapy for the newborn, essentially improving its prognosis.

Adult↗
PubMed2003

Gastroschisis with omphalomesenteric artery remnant, colonic atresia and arthrogryposis multiplex congenita.

The pathogenesis of gastroschisis (GS) is controversial. We present a case of GS complicated by colonic atresia and arthrogryposis multiplex congenita. This association is attributed to intrauterine vascular compromise. Furthermore, a probable omphalomesenteric artery (OMA) remnant was found on the right side of the defect opposite the umbilicus and extended with bifurcation to the mesenteries of the colon and ileum, between which colonic atresia occurred. This provided further evidence in support of the hypothesis that GS is caused by an intrauterine interruption of OMA.

Abnormalities, Multiple↗