Open Access, Peer-reviewed
pISSN 2288-6575
eISSN 2288-6796
    J Korean Surg Soc. 2009 Dec;77(6):423-428. Korean.
    Published online Dec 04, 2009.
    https://doi.org/10.4174/jkss.2009.77.6.423
    Copyright © 2009 The Korean Surgical Society
    Original Article

    Clinical Considerations of Intestinal Atresia

    In-Oh Jeong, M.D., Yun-Mee Choe, M.D., Jang Young Kim, M.D., Sun Keun Choi, M.D., Yoon Seok Heo, M.D., Keon Young Lee, M.D., Sei-Joong Kim, M.D., Young Up Cho, M.D., Seung Ik Ahn, M.D., Kee Chun Hong, M.D., Seok Hwan Shin, M.D., Kyung Rae Kim, M.D. and Jeong-Meen Seo, M.D.1
      • Department of Surgery, College of Medicine, Inha University, Incheon, Korea.
      • 1Department of Surgery, College of Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea.
    • Corresponding author (Email: gsmee@inha.ac.kr )
    Received August 08, 2009; Accepted September 22, 2009.

    Abstract

    Purpose

    The mortality of intestinal atresia has decreased remarkably owing to prenatal diagnosis, development of diagnosis method, neonatal intensive care, surgical technique, total parenteral nutrition and performing of early surgery. The clinical consideration of our experience about intestinal atresia would be helpful in the understanding of disease.

    Methods

    We reviewed the clinical presentation, hospital days, diagnosis method, surgical method, postoperative early complication and mortality based on medical records, retrospectively, in 32 cases of intestinal atresia encountered at Inha University Hospital between March 1997 and May 2009.

    Results

    The involved sites were; duodenum (n=11; 34.4%), jejunoileum (n=20; 62.5%), and colon (n=1; 3.1%). The mean postoperative fasting time was 6.38 days. The postoperative morbidity was 9.4% and mortality was 3.1%.

    Conclusion

    Complete recovery from intestinal atresia can be insured by prompt diagnosis, early surgery and careful neonatal intensive care.

    Keywords
    Intestinal atresia; Early diagnosis; Neonatal intensive care

    Tables

    Table 1
    Incidence

    Table 2
    Gestational age

    Table 3
    Birth weight

    Table 4
    Symptoms

    Table 5
    Diagnostic methods

    Table 6
    Other associated anomalies

    Table 7
    Types of duodenal atresia

    Table 8
    Types of jejunoileal atresia

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    MeSH Terms
    Colon
    Duodenum
    Early Diagnosis
    Fasting
    Infant, Newborn
    Intensive Care, Neonatal
    Intestinal Atresia
    Medical Records
    Parenteral Nutrition, Total
    Prenatal Diagnosis
    Retrospective Studies
    Metrics
    Share
    Tables
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