Multiple jejunoileal atresia and colonic atresia managed by multiple primary anastomosis with a single gastroperineal transanastomotic tube without stomas.
Multiple jejunoileal atresia is a challenge to the pediatric surgeon. The aim of the study is to preserve bowel length and prevent the long-term complications of short bowel syndrome. The authors present a rare case of combined multiple jejunoileal atresia and colonic atresia managed by 9 primary anastomoses over a gastroperineal transanastomotic tube. This technique avoided the use of stomas and their attendant complications.
Yardley
Ian
I
Department of Pediatric Surgery, Royal Manchester Children's Hospital and St Mary's Hospital, Manchester, United Kingdom.
Khalil
Basem
B
Minford
Joanne
J
Morabito
Antonino
A
D000714:Anastomosis, Surgical / Q000379:methods; D002585:Cesarean Section; D003108:Colonic Diseases / Q000601:surgery*; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging / Q000196:embryology / Q000601:surgery; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery*; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000000981:diagnostic imaging / Q000196:embryology / Q000601:surgery*; D007418:Intestinal Pseudo-Obstruction / Q000209:etiology; D007579:Jejunal Diseases / Q000601:surgery*; D010288:Parenteral Nutrition; D010502:Perineum / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D020127:Recovery of Function; D012778:Short Bowel Syndrome / Q000517:prevention & control; D015607:Stents; D016216:Ultrasonography, Prenatal