J Korean Surg Soc.  2009 Dec;77(6):423-428. 10.4174/jkss.2009.77.6.423.

Clinical Considerations of Intestinal Atresia

• Jeong IO
• Choe YM
• Kim JY
• Choi SK
• Heo YS
• Lee KY
• Kim SJ
• Cho YU
• Ahn SI
• Hong KC
• Shin SH
• Kim KR
• Seo JM

• KMID: 1464823
• DOI: http://doi.org/10.4174/jkss.2009.77.6.423

Abstract

PURPOSE
The mortality of intestinal atresia has decreased remarkably owing to prenatal diagnosis, development of diagnosis method, neonatal intensive care, surgical technique, total parenteral nutrition and performing of early surgery. The clinical consideration of our experience about intestinal atresia would be helpful in the understanding of disease.
METHODS
We reviewed the clinical presentation, hospital days, diagnosis method, surgical method, postoperative early complication and mortality based on medical records, retrospectively, in 32 cases of intestinal atresia encountered at Inha University Hospital between March 1997 and May 2009.
RESULTS
The involved sites were; duodenum (n=11; 34.4%), jejunoileum (n=20; 62.5%), and colon (n=1; 3.1%). The mean postoperative fasting time was 6.38 days. The postoperative morbidity was 9.4% and mortality was 3.1%.
CONCLUSION
Complete recovery from intestinal atresia can be insured by prompt diagnosis, early surgery and careful neonatal intensive care.

Keyword

Intestinal atresia; Early diagnosis; Neonatal intensive care

MeSH Terms

Colon
Duodenum
Early Diagnosis
Fasting
Infant, Newborn
Intensive Care, Neonatal
Intestinal Atresia
Medical Records
Parenteral Nutrition, Total
Prenatal Diagnosis
Retrospective Studies

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