Congenital multiple intestinal atresia successfully treated with multiple anastomoses in a premature neonate: report of a case.
We report herein the case of a 2080-g premature male infant born at 34 weeks' gestation with multiple intestinal atresia, for whom multiple anastomoses were successfully performed. A total of 11 atresias were found in the small bowel, and five anastomoses were performed to preserve 59 cm of small bowel and the ileocecal valve. Postoperatively, he developed several episodes of sepsis caused by persistent enterostasis, but was able to be weaned from total parenteral nutrition (TPN) by postoperative day (POD) 106. Thus, multiple anastomoses may be the appropriate procedure to prevent short-gut syndrome for congenital multiple intestinal atresia, even in premature infants.
Division of Pediatric Surgery, Kinan General Hospital, Wakayama, Japan.
T
T
Hasegawa
J
J
Sumimura
K
K
Nose
T
T
Sasaki
Y
Y
Miki
T
T
Dezawa
D000015:Abnormalities, Multiple / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D006801:Humans; D007080:Ileocecal Valve / Q000002:abnormalities / Q000601:surgery; D007231:Infant, Newborn; D007234:Infant, Premature; D007409:Intestinal Atresia / Q000601:surgery*; D007583:Jejunum / Q000002:abnormalities* / Q000601:surgery*; D008297:Male; D010289:Parenteral Nutrition, Total