title: [Prognostic factors related to mortality in newborns with jejunoileal atresia].
abstract: BACKGROUND
  Jejuno-ileal atresia is one of the main causes of intestinal obstruction in neonates. The origin is vascular accidents in the fetal intestine. It is an entity that requires early and specialist management.
  
  
  OBJECTIVE
  to know the factors related to mortality in neonates with jejunoileal atresia.
  
  
  METHODS
  Case-control nested in a cohort design, comparative study during ten years, between deceased and survivors analyzing factors related to mortality before surgery and during surgery and in the postoperative course.
  
  
  RESULTS
  We analyzed 70 patients in 10 years, there were 10 deaths (14.2%). No one had a prenatal diagnosis. Factors related to mortality were: intestinal perforation with a relative risk (RR) of 4.4, peritonitis (RR: 5.6), the need of stomas (RR: 4.9), the presence of sepsis (RR: 4.6) and when the residual small bowel length was below 1 meter (RR: 7.4).
  
  
  CONCLUSIONS
  The delay in diagnosis causes late intervention and increased mortality delayed diagnosis promotes late transport of the neonate and enhances mortality, factors associated with mortality related to intestinal perforation. It is necessary to spread this disease in the medical community to improve prenatal and postnatal diagnosis.
authors: Departamento de Cirugía General, Hospital Infantil de México Federico Gómez, Secretaría de Salud, México, D.F., Mexico. eduardo@fambracho.org
authors: Eduardo
authors: E
authors: Bracho-Blanchet
authors: Alejandro
authors: A
authors: González-Chávez
authors: Roberto
authors: R
authors: Dávila-Pérez
authors: Cristian
authors: C
authors: Zalles Vidal
authors: Emilio
authors: E
authors: Fernández-Portilla
authors: Jaime
authors: J
authors: Nieto-Zermeño
mesh_terms: D000015:Abnormalities, Multiple / Q000453:epidemiology; D000714:Anastomosis, Surgical / Q000706:statistics & numerical data; D001722:Birth Order; D016022:Case-Control Studies; D055499:Catheter-Related Infections / Q000453:epidemiology / Q000209:etiology; D015897:Comorbidity; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000706:statistics & numerical data; D007082:Ileum / Q000002:abnormalities*; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000150:complications / Q000000981:diagnostic imaging / Q000196:embryology / Q000401:mortality*; D007416:Intestinal Perforation / Q000453:epidemiology / Q000209:etiology; D007583:Jejunum / Q000002:abnormalities*; D008297:Male; D010538:Peritonitis / Q000453:epidemiology / Q000209:etiology; D011027:Pneumoperitoneum / Q000453:epidemiology / Q000209:etiology; D006831:Polyhydramnios / Q000453:epidemiology; D011183:Postoperative Complications / Q000401:mortality*; D011247:Pregnancy; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D018805:Sepsis / Q000209:etiology / Q000401:mortality; D012778:Short Bowel Syndrome / Q000401:mortality; D016216:Ultrasonography, Prenatal