A Clinical Analysis of Neonatal Surgical Gastrointestinal Diseases in Daegu·Busan Area

Son, Soon-Yong; Park, Jae Hong; Choi, Byung Ho; Choi, Kyoung Ho; Lee, Kyoung Hoon

doi:10.5223/kjpgn.2004.7.2.179

Cited by 3 publications

(1 citation statement)

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“…Ultimately, when considering it's clinical results, the complicated nature of the surgical procedure and appropriate surgical approaches must be considered in managing a case of anorectal malformations associated with esophageal atresia. In this study, the majority of the surgical treatments administered in the neonatal period were a staged procedure with good results, and there were no major differences compared to other reports [21-23]. Although the mortality rates after appropriate treatments are relatively low in the cases of simple anorectal malformations and esophageal atresia, the total mortality rate observed in the present study was 21.4%, a very high frequency compared to that in other gastrointestinal anomalies.…”

Section: Discussionsupporting

confidence: 41%

Anorectal Malformations Associated with Esophageal Atresia in Neonates

Byun

Lim

Park

et al. 2013

Pediatr Gastroenterol Hepatol Nutr

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PurposeAnorectal malformations are often associated with other anomalies, reporting frequency with 40-70%. Gastrointestinal anomalies have been known to be relatively less common than associated anomalies of other organ system. This study was performed to assess a distinctive feature of cases associated with esophageal atresia.MethodsClinical data (from January 2000 through December 2011) on the 196 subjects with anorectal malformations, managed in our Hospital, were reviewed. Total 14 neonates were identified with accompanying esophageal atresia and retrospective analysis was conducted.ResultsThe incidence was 7.1% and there were 8 male and 6 female subjects. Only 2 cases were associated with esophageal atresia without tracheoesophageal fistula. Although variable cases of anorectal malformation in female subjects, almost cases were anorectal malformations with rectourethral fistula in male. Other associated anomalies were identified in all cases, with more than 3 anomalies in 10 cases. There were 4 VACTERL (Vertebral abnormalities, Anal atresia, Cardiac anomalies, Tracheoesophageal fistula, Esophageal atresia, Renal and Limb anomalies) associations accounting for 28.6%, but could not identify chromosomal anomaly. Most cases were managed with staged procedure, usually primary repair of esophageal atresia and diverting colostomy. Overall mortality rate was 21.4%, mainly caused by heart problems.ConclusionThis study shows that early diagnosis and rational surgical approach with multidisciplinary plan are mandatory in managing anorectal malformations with esophageal atresia, when considering a high frequency of associated anomaly and a relative high mortality.

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Section: Discussionsupporting

confidence: 41%

Anorectal Malformations Associated with Esophageal Atresia in Neonates

Byun

Lim

Park

et al. 2013

Pediatr Gastroenterol Hepatol Nutr

View full text Add to dashboard Cite

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A Natural Course of an Infantile Hypertrophic Pyloric Stenosis without Adequate Surgical Procedure

Lim

Park

Yeom

et al. 2015

J Korean Assoc Pediatr Surg

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Infantile hypertrophic pyloric stenosis (IHPS) is one of the common surgical abdomen in infancy, characterized by progressive non-bilious vomiting. The etiology is unknown, but it likely develops after birth. The pylorus of the stomach becomes thick and triggers progressive vomiting. Abdominal ultrasonography (US) is widely used as a diagnostic tool. Currently, there is a rare IHPS patient with severe metabolic derangement because of general use of abdominal US and its accuracy. We experienced a natural course of a 62-day-old male infant with IHPS who was suffering from intermittent vomiting, loss of weight but had not been properly treated for 1 month. It is needed to make an effort to diagnose differentially in recurrent vomiting infant and check-up regularly, and also educate parents properly.

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