Primary anastomosis in apple-peel bowel syndrome.
During a 15-year period, 12 infants with apple-peel bowel were treated; the first 4 by initial enterostomy with delayed anastomosis and the remaining 8 by primary anastomosis. All four infants in the enterostomy group required parenteral nutrition, compared with only six of the eight who had a primary anastomosis. Seven of the eight infants treated by primary anastomosis were in hospital for less than 50 days, (however, the remaining child was an in-patient for over 2 years, but did suffer from short-bowel syndrome with only 17 cm of small intestine). In comparison, all four of the enterostomy group were hospitalised for between 70 and 175 days. All twelve patients survived.
Turnock
R R
RR
Department of Paediatric Surgery, Hospitals for Sick Children, London, England.
Brereton
R J
RJ
Spitz
L
L
Kiely
E M
EM
D000714:Anastomosis, Surgical / Q000379:methods; D004766:Enterostomy; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery*; D007583:Jejunum / Q000002:abnormalities* / Q000601:surgery*; D012086:Reoperation; D013577:Syndrome