Clinical Considerations of Intestinal Atresia.
10.4174/jkss.2009.77.6.423
- Author:
In Oh JEONG
1
;
Yun Mee CHOE
;
Jang Young KIM
;
Sun Keun CHOI
;
Yoon Seok HEO
;
Keon Young LEE
;
Sei Joong KIM
;
Young Up CHO
;
Seung Ik AHN
;
Kee Chun HONG
;
Seok Hwan SHIN
;
Kyung Rae KIM
;
Jeong Meen SEO
Author Information
1. Department of Surgery, College of Medicine, Inha University, Incheon, Korea. gsmee@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Intestinal atresia;
Early diagnosis;
Neonatal intensive care
- MeSH:
Colon;
Duodenum;
Early Diagnosis;
Fasting;
Infant, Newborn;
Intensive Care, Neonatal;
Intestinal Atresia;
Medical Records;
Parenteral Nutrition, Total;
Prenatal Diagnosis;
Retrospective Studies
- From:Journal of the Korean Surgical Society
2009;77(6):423-428
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The mortality of intestinal atresia has decreased remarkably owing to prenatal diagnosis, development of diagnosis method, neonatal intensive care, surgical technique, total parenteral nutrition and performing of early surgery. The clinical consideration of our experience about intestinal atresia would be helpful in the understanding of disease. METHODS: We reviewed the clinical presentation, hospital days, diagnosis method, surgical method, postoperative early complication and mortality based on medical records, retrospectively, in 32 cases of intestinal atresia encountered at Inha University Hospital between March 1997 and May 2009. RESULTS: The involved sites were; duodenum (n=11; 34.4%), jejunoileum (n=20; 62.5%), and colon (n=1; 3.1%). The mean postoperative fasting time was 6.38 days. The postoperative morbidity was 9.4% and mortality was 3.1%. CONCLUSION: Complete recovery from intestinal atresia can be insured by prompt diagnosis, early surgery and careful neonatal intensive care.
