PMID: 9660221Jul 11, 1998Paper

Management of gastroschisis with concomitant jejuno-ileal atresia

Journal of Pediatric Surgery
J C HoehnerP C Kim

Abstract

The incidence of jejuno-ileal atresia in neonates concomitantly found to possess gastroschisis has been reported to be 5% to 25%. Initial treatment for this condition has not been well established. Thirteen newborns with gastroschisis and coexisting jejuno-ileal atresia, were identified and treated at our institution over the past 16 years (1978 through 1996). Patient characteristics at presentation, surgical therapy, and complications at extended follow-up were reviewed. All neonates were preterm (mean gestational age, 35.2 +/- 2.0 weeks) and of low birth weight (2.1 +/- 0.4 kg). Atresia types II, IIIa, IIIb, and IV were identified at the initial surgical procedure in one, eight, one, and three patients respectively; however, one synchronous small bowel atresia went unrecognized. A primary anastomosis was fashioned in 8 of 13 newborns, the creation of which did not influence length of hospitalization, length of total parenteral nutrition (TPN) requirement, complication rate, or survival; however, reoperation was required in two of eight patients to mediate anastomotic complications. Atresia associated with intestinal gangrene or perforation was treated by primary anastomosis in three of six patients and the remaining three by ...Continue Reading

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Citations

Jun 20, 2007·Pediatric Surgery International·L Cara Jager, Hugo A Heij
Aug 3, 2010·Pediatric Surgery International·Rania KronfliAtul Sabharwal
Jul 14, 1999·Current Problems in Diagnostic Radiology·M L FogataT L Angtuaco
Apr 17, 2014·Pediatric Surgery International·Florian FriedmacherMichael E Höllwarth
Nov 21, 2008·Seminars in Pediatric Surgery·Sean Marven, Anthony Owen
Jun 15, 2007·Journal of Pediatric Surgery·Meghan A ArnoldFizan Abdullah
Jun 14, 2008·Prenatal Diagnosis·Anna L DavidJoseph Curry
Jan 1, 2014·Prenatal Diagnosis·Karine LepigeonDavid Baud
Dec 2, 2008·Journal of Pediatric Surgery·J Duncan PhillipsTimothy M Weiner

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