[Treatment of colonic atresia. Report of 3 cases].
Atresia of the colon (AC) is an uncommon cause of neonatal intestinal obstruction requiring prompt surgery. However, its optimal operative management is matter of discussion. We report the surgical therapy and evolution of three cases successfully treated at our department. A type I case was submitted to a coloplasty plus resection of the diaphragm; two cases of type III underwent a two-staged procedure, i.e., colostomy with subsequent anastomosis without resection. After analysing the different operative procedures we suggest that a colostomy with later establishment of intestinal continuity may be an advantageous procedure even in the healthy patients with proximal lesions. A coloplasty is a safe alternative to type I atresias.
Estevao da Costa
J M
JM
Servicio de Pediatria-Pediatria Cirúrgica, Hospital de S. João, Facultade de Medicina de Porto, Portugal.
Oliveira
L
L
Albert
A
A
Barbeitos de Sousa
R M
RM
Teixeira Santos
N
N
D003106:Colon / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery*; D008297:Male
Tratamiento de la atresia de colon. A propósito de tres casos.