Congenital atresia and stenosis of the colon

Benson, Clifford D.; Lotfi, M; Brough, A. Joseph

doi:10.1016/0022-3468(68)90008-0

Cited by 63 publications

(12 citation statements)

References 8 publications

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“…CA is a rare form of bowel atresia [15] and comprised of 8.7% of the total patients in our series. Prognosis was good, 3 of the 4 patients surviving resection and primary anastomosis for right-sided atresias.…”

Section: Discussionmentioning

confidence: 99%

“…Although it has been stated that if a preoperative contrast enema is not performed, this can result in failure to diagnose an additional colonic or rectal atresia. [15][16][17] careful inspection of the bowel during surgery and milking of saline in the distal segment right down to the rectum, obviates the necessity of performing routine preoperative contrast studies.…”

Section: Discussionmentioning

confidence: 99%

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Treatment strategies in the management of jejunoileal and colonic atresia

Chadha

Sharma

Roychoudhury

et al. 2006

J Indian Assoc Pediatr Surg

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ABSTRACT ABSTRACT ABSTRACTBackground/Purpose: The purpose of this prospective study was to review the operative findings, treatment strategies, as well as the results of management of 46 consecutive cases of jejunoileal and colonic atresia, managed over a 2-year period. Materials and Methods: There were 42 patients with jejunoileal atresia (JIA) and 4 with colonic atresia (CA). The 4 group types were: type I-membranous (n=20), type II-blind ends separated by a fibrous cord (n=6), type IIIa-blind ends with a V-shaped mesenteric defect (n=10), type IIIb-apple-peel atresia (n=4) and type IV-multiple atresias (n=6). Primary surgery for JIA consisted of resection with a single anastomosis (n=37), anastomosis after tapering jejunoplasty (n=3), multiple anastomosis (n=1) and a Bishop-Koop ileostomy (n=1). For CA, resection with primary anastomosis was performed. A single end-to-oblique anastomosis after adequate resection of dilated proximal bowel, was the preferred surgical procedure. In the absence of facilities for administering TPN, early oral/ nasogastric (NG) tube feeding was encouraged. In patients with anastomotic dysfunction, conservative treatment of the obstruction followed after its resolution by gradually increased NG feeds, was the preferred treatment protocol. Results: Late presentation or diagnosis with hypovolemia, electrolyte imbalance, unconjugated hyperbilirubinemia (n=25) and sepsis (n=6), were significant preoperative findings. After resection and anastomosis, significant shortening of bowel length was seen in 16 patients (34.7%). Postoperative complications included an anastomotic leak (n=3), a perforation proximal to the anastomosis in 1 and anastomotic dysfunction in 5 patients. Full oral or NG tube feeding was possible only by the 13th to 31st postoperative day (POD), after the primary surgery in patients with anastomotic dysfunction and those undergoing reoperation. Overall, 38 patients survived (82.6%). Mortality was highest in patients with type IIIb or type IV JIA. Conclusions: Despite lack of ideal facilities for neonatal intensive care and administration of TPN, good results were achieved in the management of JIA and CA by following these principles: (1) adequate preoperative resuscitation, (2) meticulous surgical technique and a standardized surgical protocol, (3) early recognition of postoperative complications and their management by a uniform protocol and (4) wherever possible, early institution of oral or NG feeds, preferably by breast milk.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Treatment strategies in the management of jejunoileal and colonic atresia

Chadha

Sharma

Roychoudhury

et al. 2006

J Indian Assoc Pediatr Surg

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“…Classical etiologic factor of most CA is intrauterine extrinsic mesenteric vascular obstruction associated with internal hernia, volvulus, intussusception [3,10,11,55,58,59,64,65], or strangulation in tight gastroschisis [59]. Colonic atresia secondary to a choledochal cyst because of the intrauterine direct pressure effect of the cyst on the transverse colon mesentery has been reported [41].…”

Section: Etiology Of Camentioning

confidence: 97%

Atresia of the colon

Etensel

Temır

Karkıner

et al. 2005

Journal of Pediatric Surgery

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“…Several theories are there to explain the aetiology of colon atresia. The main one was intra uterine extrinsic mesenteric vascular obstruction which can be caused by internal hernia, volvulus, intussusception or a strangulation in tight gastroschisis 1,2 . Intraluminal vascular factors have also been reported.…”

Section: Discussionmentioning

confidence: 99%

Congenital Colonic Atresia: an infrequent cause of low intestinal obstruction in neonates

Shanbhag¹

2018

jmscr

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Colonic atresia is a rare cause of distal intestinal obstruction in neonates. In this report a two day old neonate who presented with abdominal distension, bilious vomiting and failure to pass meconium due to congenital colonic atresia is being described for its rarity. Congenital colonic atresia should be considered in the differential diagnosis when a neonate presents with features suggestive of intestinal obstruction.

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Congenital atresia and stenosis of the colon

Cited by 63 publications

References 8 publications

Treatment strategies in the management of jejunoileal and colonic atresia

Treatment strategies in the management of jejunoileal and colonic atresia

Atresia of the colon

Congenital Colonic Atresia: an infrequent cause of low intestinal obstruction in neonates

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