title: A comprehensive analysis of 51 neonates with congenital intestinal atresia.
abstract: OBJECTIVE
  To determine contemporary patterns of presentation and trends in the management and outcome of 51 newborn infants with intestinal atresia.
  
  
  METHODS
  We retrospectively reviewed 51 cases of intestinal atresia between January 1983 and February 2003. Clinical data included antenatal history, age, gender, weight, presenting symptoms and signs, diagnostic procedures, location and type of atresia, associated abnormalities, surgical treatment, associated problems, morbidity, mortality and plans of treatment.
  
  
  RESULTS
  Twenty children had duodenal obstruction, 24 had jejunoileal atresia, and 7 had colonic atresia. Approximately one-fourth of patients associated with duodenal atresia had preterm delivery and all patients with jejunoileal and colonic atresia were full term. Clinical features such as vomiting, abdominal distention, delayed meconium passage and jaundice were more frequent in jejunoileal atresia patients. Other associated organ anomalies particularly Down's syndrome were more frequent in duodenal atresia patients. A duodeno-duodenostomy was preferred in most of the patients with duodenal atresia and annular pancreas; duodenotomy and web excision for those with duodenal webs; and resection with end-to-end anastomosis for those with jejunoileal atresia. In all patients with colonic atresia, colostomy procedure was performed as the first step of surgery.
  
  
  CONCLUSIONS
  Experienced neonatal care and prompt total parenteral nutrition by placing central line during surgery may improve the outcome of such patients.
authors.affiliation: Department of Pediatric Surgery, Abant Izzet Baysal University, Medical School, and Izzzet Baysal Obstetrics and Children Hospital, Bolu, Turkey.
authors.forename: Hayrettin
authors.initials: H
authors.lastname: Ozturk
authors.forename: Hulya
authors.initials: H
authors.lastname: Ozturk
authors.forename: Senol
authors.initials: S
authors.lastname: Gedik
authors.forename: Hatun
authors.initials: H
authors.lastname: Duran
authors.forename: Abdurrahman
authors.initials: A
authors.lastname: Onen
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome