ASSOCIATED RECTAL AND JEJUNAL ATRESIA IN THE NEWBORN

PEDIATRICS ◽  
1960 ◽  
Vol 26 (1) ◽  
pp. 122-125
Author(s):  
L. R. Schultz ◽  
G. H. Lawrence
Keyword(s):  
Small Bowel ◽  
Premature Infant ◽  
Barium Enema ◽  
Jejunal Atresia

A report of a premature infant with multiple congenital diaphragms of jejunum, ileum, and rectum has been presented. The etiology and treatment have been reviewed. Barium enema preoperatively to establish patency of the colon in cases of congenital obstruction of the small bowel is recommended.

scholarly journals SMALL BOWEL DIVERTICULOSIS WITH JEJUNAL ATRESIA

2015 ◽  
Vol 4 (56) ◽  
pp. 9849-9851
Author(s):  
Srinivas S ◽  
Ramesh Reddy K ◽  
Lavanya K
Keyword(s):  
Small Bowel ◽  
Jejunal Atresia

Barium sulfate aspiration: Severe chemical pneumonia induced by a massive reflux of contrast medium during small bowel barium enema

2015 ◽  
Vol 253 ◽  
pp. e16-e19 ◽  
Author(s):  
Lin Zhang ◽  
Yi Yang ◽  
Ji Zhang ◽  
Xiaowei Zhou ◽  
Hongmei Dong ◽  
...  
Keyword(s):  
Small Bowel ◽  
Contrast Medium ◽  
Barium Enema ◽  
Barium Sulfate

A Hazard of Barium Enema Studies in Infants with Small Bowel Atresia

Radiology ◽  
1970 ◽  
Vol 95 (2) ◽  
pp. 341-343 ◽  
Author(s):  
J. I. Wolfson ◽  
H. Williams
Keyword(s):  
Small Bowel ◽  
Barium Enema ◽  
Small Bowel Atresia ◽  
Bowel Atresia

scholarly journals Barium enema findings in total colonic aganglionosis: a single-center, retrospective study

2020 ◽  
Author(s):  
Jiayu Yan ◽  
Jihang Sun ◽  
Rongchang Wu ◽  
Sarah Tan Siyin ◽  
Yongwei Chen ◽  
...  
Keyword(s):  
Small Bowel ◽  
Transition Zone ◽  
Barium Enema ◽  
Ileocecal Valve ◽  
Substantial Agreement ◽  
Total Colonic Aganglionosis ◽  
Question Mark ◽  
Kappa Test ◽  
Moderate Agreement ◽  
Choice Of Treatment

Abstract Background Preoperative diagnosis of total colonic aganglionosis is important for the rational choice of treatment. The present study aimed to evaluate the diagnostic performance of radiographic signs on preoperative barium enema in patients with total colonic aganglionosis. Methods Forty-four patients [41 (3-659) days] with total colonic aganglionosis, including 17 neonatal patients, who received preoperative barium enema at our center, from January 2007 to December 2019 were included. All radiographs were retrospectively restudied by 2 pediatric radiologists to ascertain radiographic signs including rectosigmoid index, transition zone, irregular contraction, gas-filled small bowel, microcolon, question-mark-shaped colon and ileocecal valve reflux. Kappa test was performed to assess the accuracy and consistency of the radiographic signs. Results The 2 radiologists showed slight agreement for gas-filled small bowel, microcolon and rectosigmoid index, fair agreement for transition zone and irregular contraction, and moderate agreement for question-mark-shaped colon and ileocecal valve reflux (Kappa values, 0.043, 0.075, 0.103, 0.244, 0.397, 0.458 and 0.545, respectively). In neonatal patients, the 2 radiologists showed moderate agreement for ileocecal valve reflux and substantial agreement for question-mark-shaped colon (Kappa values, 0.469 and 0.667, respectively). In non-neonatal patients, the 2 radiologists showed substantial agreement for ileocecal valve reflux (Kappa value, 0.628). In 36 patients with total colonic aganglionosis extending to the ileum, the accuracies of question-mark-shaped colon, ileocecal valve reflux and the combination of both were 47%, 53%, and 75%, respectively, in one radiologist and 53%, 50% and 72%, respectively, in the other. Conclusion Ileocecal valve reflux was a reliable radiographic sign for diagnosing total colonic aganglionosis and could improve the accuracy by combination with question-mark-shaped colon.

The Use of Multiple Serial Transverse Enteroplasty (STEP) Procedures for the Management of Intestinal Atresia and Short Bowel Syndrome

2013 ◽  
Vol 79 (8) ◽  
pp. 826-828 ◽  
Author(s):  
Varun K. Bhalla ◽  
Walter L. Pipkin ◽  
Robyn M. Hatley ◽  
Charles G. Howell
Keyword(s):  
Small Bowel ◽  
Short Bowel Syndrome ◽  
Intestinal Transit Time ◽  
Small Bowel Length ◽  
Short Bowel ◽  
Jejunal Atresia ◽  
Repeat Procedure ◽  
Step Procedure ◽  
Primary Procedure ◽  
Serial Transverse Enteroplasty

The serial transverse enteroplasty procedure (STEP) was introduced as a bowel-lengthening procedure to reduce complications related to short bowel syndrome (SBS). Although some have described it as a useful adjunct to the Bianci procedure, others have acknowledged it as a primary procedure. We present a case of jejunal atresia in which two STEP procedures were performed 7 months apart to increase small bowel length. A 1-day-old, term girl presented with a known bowel obstruction diagnosed in utero. A laparotomy revealed a Type IIIb jejunal atresia with no remaining small bowel or cecum. A STEP procedure with an end jejunostomy and ascending colon mucous fistula lengthened the small bowel from 35 to 50 cm. A repeat procedure 7 months later lengthened it to 89 cm. The STEP procedure results in slower intestinal transit time and increases enterocytes contact with oral intake. We performed it during our initial exploration to increase small bowel size by 30 per cent. A repeat procedure 7 months later increased length to 89 cm. The use of multiple, staged STEP procedures avoided the need for bowel transplantation and long-term total parenteral nutrition dependence, demonstrating its effectiveness as a primary procedure for the surgical management of SBS.

ROENTGENOGRAPHIC MANIFESTATIONS OF CONGENITAL MEGACOLON (HIRSCHSPRUNG'S DISEASE) IN EARLY INFANCY

PEDIATRICS ◽  
1956 ◽  
Vol 18 (2) ◽  
pp. 227-238
Author(s):  
Carroll Z. Berman
Keyword(s):  
Small Bowel ◽  
Barium Enema ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Ileocecal Valve ◽  
Congenital Megacolon ◽  
Inverted Position ◽  
Proximal Half ◽  
Fluid Levels

The roentgenographic findings in the first month of life were reviewed in a series of 23 infants with histologically proven [See FIG. 9. in source pdf] Hirschsprung's disease. The plain roentgenograms of 18 of the babies showed significant large bowel distention and 12 had prominent colonic fluid levels. In 15 of 19 of the patients which had been subjected to barium enema, the roentgenograms are diagnostic of congenital megacolon. In 5 of 7 of the infants contrast enemas in the first week of life demonstrated the characteristic deformity. The conclusions which appear justified from this investigation are: Congenital megacolon (Hirschsprung's disease) may be strongly suspected in the newborn period in a large majority of cases from the appearance of plain roentgenograms of the abdomen made in recumbent and erect projections. In some instances, roentgenograms in the inverted position supply additional or substantiating evidence of the disease. In lesions starting in the proximal half of the colon, the abdominal distention involves mainly small bowel, and the differentiation from low jejunal or ileal obstruction is usually not possible from the plain roentgenograms. Here examination by barium enema may be expected to establish the diagnosis. When the segment of achalasia begins above the ileocecal valve, the plain roentgenograms again indicate small bowel obstruction, but here barium enema does not demonstrate a significant contour or caliber abnormality of the colon. In this type of case, follow-up roentgenograms 24 and 48 hours after the enema will often show considerable retention of the barium thus suggesting the diagnosis which must be confirmed by biopsy. When the proximal end of the involved segment of colon is low in the rectum, the lesion may be very difficult to demonstrate by barium enema. The age factor alone, i.e., the performance of the examination very early in infancy, does not of itself preclude demonstration of the lesion of Hirschsprung's disease by barium enema.

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