Dealing with the hugely ectatic duodenum in high jejunal atresias

Jetley, Nishith Kumar; Al-Helal, Abdullah S.; Mazkary, Mufarrah H.; Syed, Muhammad Khalid

doi:10.1097/01.xps.0000450331.08638.ea

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2020

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“…Duodenal dilatation is associated with the proximal jejunal atresia leading to dysmotility, 25 but this approach showed that a transgastric tube placed in the proximal segment deflated the duodenum and proximal jejunal segment and subsequent definitive surgery was safe, well-tolerated and associated with fewer complications…”

Section: Discussionmentioning

confidence: 99%

New simple low-cost surgical approach to complex jejuno-ileal atresia

Pan¹

2020

Trop Doct

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We report our experience of staged operations in the surgical treatment of complex jejuno-ileal atresia. Our study examined transgastric deflation of the proximal segment and feeding jejunostomy through the distal segment as a first stage followed by a definitive restoration of continuity secondarily at a tertiary centre over a period of three years. A cohort of 21 cases were studied. None suffered with intestinal perforation or volvulus. Tube plugging was seen in three patients who were relieved by flushing. Tube replacement was not required. One patient developed necrotising enterocolitis and died. Sepsis was seen in three. The age at the second operation was 56.2 ± 6.6 days. There was no complication after this second procedure. We therefore recommend this staged management for complex jejuno-ileal atresia, but suggest further studies.

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Section: Discussionmentioning

confidence: 99%

New simple low-cost surgical approach to complex jejuno-ileal atresia

Pan¹

2020

Trop Doct

View full text Add to dashboard Cite

show abstract

Dealing with the hugely ectatic duodenum in high jejunal atresias

Cited by 1 publication

References 7 publications

New simple low-cost surgical approach to complex jejuno-ileal atresia

New simple low-cost surgical approach to complex jejuno-ileal atresia

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