Catheter enterostomy and patch repair of the abdominal wall for gastroschisis with intestinal atresia: report of a case.
A male infant, weighing 2177 g, was born with the entire intestine protruding through a defect on the right side of the navel. Intestinal atresia, approximately 70 cm from the Treitz ligament, was also confirmed. Primary anastomosis and abdominal wall repair were impossible because of the intestinal dilation and thick peel, as well as the small abdominal cavity. Thus, we initially performed catheter enterostomy with a 14-F balloon catheter and patch repair of the abdominal wall, to enable the baby to be fed. Secondary anastomosis and abdominal wall repair was safely performed when the baby was 106 days old. The combination of catheter enterostomy and patch repair of the abdominal wall does not require dissection of the intestine and it can be safely performed in low-birth-weight babies. It also enables feeding and weight gain, and the overlying skin prevents contamination of the artificial sheet. We recommend this combination for neonates with both gastroschisis and intestinal atresia.
Ohno
Koichi
K
Department of Pediatric Surgery, Osaka City General Hospital, Miyakojima-ku, Osaka, Japan.
Nakamura
Tetsuro
T
Azuma
Takashi
T
Yoshida
Tatsuyuki
T
Yamada
Hiroto
H
Hayashi
Hiroaki
H
Masahata
Kazunori
K
D034861:Abdominal Wall / Q000601:surgery; D000714:Anastomosis, Surgical; D002404:Catheterization; D004766:Enterostomy / Q000379:methods*; D020139:Gastroschisis / Q000601:surgery*; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery*; D008297:Male; D011138:Polytetrafluoroethylene; D017768:Skin, Artificial; D016216:Ultrasonography, Prenatal
D011138:Polytetrafluoroethylene