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.
Department of Paediatric Surgery, Hospitals for Sick Children, London, England.
R R
RR
Turnock
R J
RJ
Brereton
L
L
Spitz
E M
EM
Kiely
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