[Co-morbidity and mortality during the first year of life in children with jejunoileal atresia].
OBJECTIVE
To identify the co-morbidity and mortality during the first year of life in children with jejunoileal atresia.


METHODS
Descriptive, comparative cohort. SITE: Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social.


METHODS
Seventy children with jejunoileal atresia.


METHODS
Following variables were registered: gestational age, birth weight, sex, type and site of atresia, other congenital defects, surgical management, number of surgeries, duration of fasting, re-hospitalizations, weight and height at 6 months and one year of life, co-morbidity and mortality.


RESULTS
Intestinal atresia types I and II were present in 27% of the patients respectively and type IIIa in 24%. Co-morbidity in the neonatal period was 64.2%, being the most common conditions sepsis (47.1%) and anastomotic stricture (18.5%). During the first year of life co-morbidity was 51.4%, presented as functional intestinal obstruction (21.4%). Mortality was 11.4% (n = 8), the main causes of death were sepsis (n = 6) and liver failure (n = 2). The mortality rate according to the type of atresia was 44.4% for type IV, 33.3% for type IIIb and 1.3% for type I.


CONCLUSIONS
Co-morbidity during the first year of life in children with jejunoileal atresia is high, and related to infections and anastomosis inherent problems. Mortality is higher for intestinal atresia type IV.
García
Heladia
H
Unidad de Cuidados Intensivos Neonatales, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, IMSS. hely1802@yahoo.com.mx
Franco-Gutiérrez
Mario
M
Rodríguez-Mejía
Evaldo Jesús
EJ
González-Lara
Carlos David
CD
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000150:complications* / Q000401:mortality*; D007583:Jejunum / Q000002:abnormalities*; D008297:Male