scholarly journals A female neonate with absent anal opening and dug perineum: Think high

2020 ◽  
Vol 9 ◽  
pp. 30
Author(s):  
Parveen Kumar ◽  
Nitin Jain ◽  
Vivek Viswanathan ◽  
Rishabh Jain
Keyword(s):  
Small Bowel ◽  
Rectovaginal Fistula ◽  
Pediatric Surgery ◽  
Rare Case ◽  
General Surgeon ◽  
Ileal Atresia ◽  
Radiological Investigation ◽  
Case Presentation ◽  
Small Bowel Atresia ◽  
Bowel Atresia

Background: A female neonate with anorectal malformation (ARM) may have one, two, or three openings in the perineum. One opening represents cloaca while three openings usually suggest low ARM. Females with two openings in the perineum may be ARM without any fistula, rectovaginal fistula, or absent vagina. The association of ARM with multiple intestinal atresias and malrotation is rare. Case Presentation: We present here a case of a female neonate with two perineal openings, whose perineum was explored by a general surgeon without any radiological investigation and was later found to have a high ARM, multiple jejunal and ileal atresia with malrotation. Conclusion: ARM associated with small bowel atresia and malrotation are rarely described. Such cases require management in Pediatric surgery settings.

Morbidity and Mortality in Small Bowel Atresia. Jejuno-ileal Atresia

1987 ◽  
Vol 42 (01) ◽  
pp. 17-18
Author(s):  
E. Danismend ◽  
J. Frank ◽  
St. Brown
Keyword(s):  
Small Bowel ◽  
Morbidity And Mortality ◽  
Ileal Atresia ◽  
Small Bowel Atresia ◽  
Bowel Atresia

scholarly journals The Combination of Gastroschisis, Jejunal Atresia, and Colonic Atresia in a Newborn

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Zachary Bauman ◽  
Victor Nanagas
Keyword(s):  
Abdominal Wall ◽  
Rare Case ◽  
Intestinal Atresia ◽  
Abdominal Wall Closure ◽  
Case Presentation ◽  
Jejunal Atresia ◽  
Colonic Atresia ◽  
Small Bowel Atresia ◽  
Bowel Atresia ◽  
Surgical Option

We encountered a rare case of gastroschisis associated with jejunal atresia and colonic atresia. In our case, the jejunal atresia was not discovered for 27 days after the initial abdominal wall closure. The colonic atresia was not discovered for 48 days after initial repair of the gastroschisis secondary to the rarity of the disorder. Both types of atresia were repaired with primary hand-sewn anastomoses. Other than the prolonged parenteral nutrition and hyperbilirubinemia, our patient did very well throughout his hospital course. Based on our case presentation, small bowel atresia and colonic atresia must be considered in patients who undergo abdominal wall closure for gastroschisis with prolonged symptoms suggestive of bowel obstruction. Our case report also demonstrates primary enteric anastomosis as a safe, well-tolerated surgical option for patients with types of intestinal atresia.

scholarly journals Double trouble with triple bubble: A rare case of double small bowel atresia in a neonate

2021 ◽  
Vol 64 ◽  
pp. 101745
Author(s):  
R. Ramanuja Naidu ◽  
Mohd Razin Hassan ◽  
Wan Mohd Ruzaimie Wan Mohamad Noor ◽  
Mohd Tarmizi Md Nor
Keyword(s):  
Small Bowel ◽  
Rare Case ◽  
Small Bowel Atresia ◽  
Bowel Atresia

Small bowel atresia and stenosis

1990 ◽  
Vol 25 (5) ◽  
pp. 571
Author(s):  
Prem Puri
Keyword(s):  
Small Bowel ◽  
Small Bowel Atresia ◽  
Bowel Atresia

E17 Small Bowel Atresia

2013 ◽  
pp. 290-292
Author(s):  
Anand Sinha ◽  
Sandeep Agarwala
Keyword(s):  
Small Bowel ◽  
Small Bowel Atresia ◽  
Bowel Atresia

scholarly journals A Minor Innovation in Constructing a Small Bowel Stoma in Neonates with Small Bowel Atresia to Reduce the Morbidity

2016 ◽  
Vol 5 (4) ◽  
pp. 45 ◽  
Author(s):  
Naeem Khan ◽  
Saba Bakht ◽  
Nadia Zaheer
Keyword(s):  
Small Bowel ◽  
Primary Anastomosis ◽  
Intestinal Atresia ◽  
Stoma Formation ◽  
New Type ◽  
Small Bowel Atresia ◽  
Bowel Atresia ◽  
A Minor ◽  
Lost To Follow Up

Background: Intestinal atresia has still significant morbidity in developing countries. Stomas are now not recommended in every case of intestinal atresia; primary anastomosis is the goal of surgery after resection of dilated adynamic gut. A new type of stoma formation along with primary anastomosis is being presented here.Materials and Methods: This report is based on our experience of many cases with this technique in last 12 years but all the details and long follow-up of each case is not available. However the method of surgical procedure, progress, complications, and advantages encountered have been highlighted.Results: Presently we have data of 7 patients; others are lost to follow up. Three had died with other associated problems, namely one with multiple atresias, two with septic shock and prematurity. Two stomas did not require formal closure because stoma shriveled and disappeared. Two other stomas had grown very long like a diverticulum when these were closed after 5 and 8 months.Conclusion: This technique is another attempt to decrease morbidity of patients of intestinal atresia especially in those cases where short bowel syndrome is feared after resection of proximal dilated gut.

scholarly journals Abnormalities of the intestinal pacemaker cells, enteric neurons, and smooth muscle in intestinal atresia

2019 ◽  
Vol 11 (03) ◽  
pp. 180-185 ◽  
Author(s):  
Radhika krishna OH ◽  
Mohammed Abdul Aleem ◽  
Geetha Kayla
Keyword(s):  
Nervous System ◽  
Small Bowel ◽  
Enteric Nervous System ◽  
Gastrointestinal Motility ◽  
Interstitial Cells Of Cajal ◽  
Interstitial Cells ◽  
Enteric Neurons ◽  
Small Bowel Atresia ◽  
Bowel Atresia ◽  
Cells Of Cajal

Abstract BACKGROUND: Small bowel atresia is a congenital disorder that carves a substantial morbidity. Numerous postoperative gastrointestinal motility problems occur. The underlying cause of this motility disorder is still unclear. Interstitial cells of Cajal (ICC) play a major role in gastrointestinal motility. AIMS AND OBJECTIVES: To investigate the morphological changes of enteric nervous system and ICC in small bowel atresia. MATERIAL AND METHODS: Resected small bowel specimen from affected patients (n=15) were divided into three parts (proximal, distal, atretic). Standard histology and immunohistochemistry with anti C-KIT receptor antibody (CD117), calretinin and α-SMA was carried out. The density of myenteric ICCs in the proximal, atretic and distal parts was demonstrated by CD 117 while Calretinin was used for ganglion cells and nerve bundles, α-SMA highlighted muscle hypertrophy. RESULT AND CONCLUSION: The proximal and distal bowel revealed clear changes in the morphology and density of enteric nervous system and interstitial cells of Cajal..

scholarly journals Supplementation of Mother’s Own Milk with Donor Milk in Infants with Gastroschisis or Intestinal Atresia: A Retrospective Study

Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 589 ◽  
Author(s):  
Rebecca Hoban ◽  
Supriya Khatri ◽  
Aloka Patel ◽  
Sharon L. Unger
Keyword(s):  
Retrospective Study ◽  
Small Bowel ◽  
Length Of Stay ◽  
Intestinal Atresia ◽  
Central Line ◽  
Hospital Outcomes ◽  
Donor Milk ◽  
Small Bowel Atresia ◽  
Bowel Atresia ◽  
Mother’S Own Milk

Background: Mother’s own milk (MOM) improves in-hospital outcomes for preterm infants. If unavailable, donor milk (DM) is often substituted. It is unclear if DM vs. formula to supplement MOM is associated with improved in-hospital outcomes in term/late preterm surgical infants with gastroschisis or intestinal atresia. Methods: This retrospective study included infants born ≥33 weeks gestational age (GA) with a birth weight of >1500 g who were admitted to a quaternary neonatal intensive care unit (NICU). Using Chi square and Mann-Whitney u testing, we compared hospital outcomes (length of stay, parenteral nutrition and central line days) before and after a clinical practice change to offer DM instead of formula in this surgical population. Results: Baseline characteristics were similar between eras for the 140 infants (median GA 37 weeks). Fewer infants in DM era were receiving formula at discharge (50.0% vs. 31.4%, p = 0.03). In sub-analyses including only small bowel atresia and gastroschisis infants, the median length of stay (35 vs. 25, p < 0.01) and the central line days (28 vs. 20, p < 0.01) were lower in the DM era. Conclusion: In this retrospective study, offering DM instead of formula was associated with less formula feeding at discharge, and in infants with gastroschisis or small bowel atresia, shorter length of stay and central line days.

Diagnostic Accuracy of Prenatal Ultrasound in Identifying Jejunal and Ileal Atresia

2015 ◽  
Vol 38 (2) ◽  
pp. 142-146 ◽  
Author(s):  
Rebecca John ◽  
Francesco D'Antonio ◽  
Asma Khalil ◽  
Sarah Bradley ◽  
Stefano Giuliani
Keyword(s):  
Pediatric Surgery ◽  
Predictive Accuracy ◽  
Duodenal Atresia ◽  
Prenatal Ultrasound ◽  
Full Data ◽  
Common Causes ◽  
Increased Sensitivity ◽  
Small Bowel Atresia ◽  
Bowel Atresia ◽  
Bowel Dilatation

Introduction: Small bowel atresia (SBA) is one of the most common causes of congenital intestinal obstruction. However, the accuracy of prenatal ultrasound in diagnosing this condition has not been entirely ascertained. The aim of this study was to analyse the predictive accuracy of ultrasound in detecting SBA prenatally. Methodology: Retrospective study of all cases with prenatal suspicion or postnatal confirmed SBA seen in a tertiary fetal medicine and pediatric surgery units from 2007 to 2013. Cases with duodenal atresia were excluded from the study. The predictive accuracy of ultrasound and different ultrasound signs, alone and in combination, was calculated. Results: 65 fetuses with prenatal suspicion or postnatal confirmed SBA were enrolled. 58 cases had full data and were included in the analysis. Predictive accuracy of ultrasound in detecting the presence of SBA was poor, with a sensitivity of 50% (95% CI 26.0-74.0) and a specificity of 70.59% (95% CI 52.5-84.9). The presence of both bowel dilatation ≥17 mm and polyhydramnios after 32 weeks of gestation slightly increased sensitivity (66.67%, 95% CI 34.9-90.1) and specificity (80.00%, 95% CI 44.4-97.5). Conclusions: In case of suspicion of SBA before the 3rd trimester, an ultrasound after 32 weeks should be performed to confirm the presence of both polyhydramnios and bowel dilatation >17 mm.

Congenital chloride diarrhoea: a prenatal differential diagnosis of small bowel atresia

1996 ◽  
Vol 85 (3) ◽  
pp. 295-298 ◽  
Author(s):  
K Lundkvist ◽  
U Ewald ◽  
PG Lindgren
Keyword(s):  
Differential Diagnosis ◽  
Small Bowel ◽  
Small Bowel Atresia ◽  
Bowel Atresia
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