Different varieties of colonic atresia in a series of 13 patients

Gobran, Tarek; Khalifa, Mohamed; Kamal, Rasha M.K.

doi:10.1097/01.xps.0000422584.90713.92

Cited by 7 publications

(12 citation statements)

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“…Previous case series have reported Type III CA as the most common type and the right colon as the most common location. [ 1 2 3 4 5 6 ] The findings corroborated with our study, we found Type IIIa atresia in 6 cases (66.5%) and Type I in 2 cases (22.2%) and Type II in one case. Furthermore, most of the atresia was found proximal to splenic flexure [ Figure 2 ].…”

Section: Discussionsupporting

confidence: 91%

“…CA may be an isolated anomaly or associated with other congenital anomalies association with malrotation, anorectal malformation, gastroschisis, HD, limb malformation, and choledochal cyst has been reported. [ 1 2 3 4 5 14 15 16 19 ] In our study, we found association with malrotation in 3 cases, HD in 2 cases, unilateral cleft lip in 1, and cardiac anomaly 2 patient and Meckels diverticulum in 1 patient. Presence of anomalies alters overall mortality.…”

Section: Discussionsupporting

confidence: 58%

“…Primary colo-colic anastomosis for atresia in the right colon and diverting colostomy for the left colon has been suggested by many studies earlier. [ 1 3 4 5 16 17 18 19 20 21 22 23 24 ] Dalla Vecchia et al . reported null mortality in 21 CA and in 3 out of 21 with primary one-stage anastomosis approach to CA.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence is approximately 1.8%–5% of intestinal atresia with an increased preponderance in males. [ 1 2 3 4 5 ] Mortality and morbidity depends on early diagnosis and urgent management. It may be isolated or associated with other congenital anomalies such as malrotation, atresia of small bowel, cleft lip, Meckel's diverticulum, and Hirschsprung's disease (HD).…”

Section: Introductionmentioning

confidence: 99%

“…It may be isolated or associated with other congenital anomalies such as malrotation, atresia of small bowel, cleft lip, Meckel's diverticulum, and Hirschsprung's disease (HD). [ 1 2 3 4 5 ] Till date, there have been many studies but management of CA is challenging due to its rare and unusual presentation.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Demographic study and management of colonic atresia: Single-center experience with review of literature

Saha

Ghosh

et al. 2018

J Indian Assoc Pediatr Surg

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Context and Aim:The aim of this study is to highlight the rarity of this disorder and its associated anomalies and our objective was to review our experience in the management of colonic atresia (CA) with respect to staged surgery versus one-step procedure for a better outcome of the disease.Settings and Design:A randomized, controlled, single-center study conducted over a period of 4 years from October 2013 to 2017.Subjects and Methods:Nine cases were operated for CA of which three underwent primary anastomosis and six underwent initial colostomy followed by definitive surgery. Age, sex, body weight, clinical presentation, type of atresia, site, time interval of operation, associated anomalies, initial procedure, postoperative complications, final procedure, biopsy, hospital stay, and outcome were noted.Statistical Analysis Used:Microsoft Excel was used for statistical analysis.Results:Out of 9 patients, 6 were males and 3 were females, 7 patients survived and 2 patients died (mortality 22.2%), of which one patient with primary anastomosis had leak and sepsis and one patient with primary anastomosis had associated Hirschsprung's disease (HD). Mean time gap for operation was 12.8 h and mean hospital stay was 3.5 days for initial colostomy and 21 days for primary anastomosis. Wound dehiscence occurred in 4 patients. Malrotation was found in 3 patients, HD in 2 patients, cardiac anomaly in 2, Meckel's diverticulum in 1, and cleft lip in 1 patient. Type IIIa atresia was found in in 6 patients, Type I in 2, and Type II in 1 patient. The most common site was transverse colon (n = 5).Conclusion:Diagnosis and management of CA is a challenge. Early presentation and diagnosis should be prompt. Staged procedure with initial colostomy followed by definitive procedure is the preferred choice. Associated anomaly HD must be ruled out.

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