A Successful Treatment of Ileal Atresia in A 1200 g Premature Neonate.
- Author:
Jin Hak SEO
1
;
Seok Joo HAN
;
Eui Ho HWANG
Author Information
1. Division of Pediatric Surgery, Yonsei University College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Ileal atresia;
Prematurity;
Very low birth weight
- MeSH:
Anesthesia;
Female;
Fluid Therapy;
Humans;
Incubators;
Infant;
Infant, Newborn*;
Infant, Very Low Birth Weight;
Intestines;
Milk;
Postoperative Care
- From:Journal of the Korean Surgical Society
1997;52(6):918-923
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The ileal atresia has been commonly accepted to be caused by a vascular accident during early intrauterine period. Thanks to the development of anesthesia, surgical techniques, postoperative supportive treatment and the hyperalimentation technique, the motality rate of this disease has been decreased. In spite of these developments, premature and very low birth weight babies should be given more attention because they still have a high motality rate. The authors report a successful treatment of ileal atresia in a 1,200g premature female infant. The proximal distended and hypertrophied intestine was resected. The distal small bowel was transected using a oblique line to create a fish-mouth. An end to end anastomosis was performed. We gave postoperative care, such as incubator care, fluid therapy, gastric decomprssion and total parenteral nutrition(TPN). TPN was initiated on postoperative one day. Calories were increased from 60cal/kg to 90cal/kg. TPN was stopped on the postoperative 24 day when the patient tolerated full strength milk feeding. Eighteen months postoperatively, she is healthy and her weight is 9.0kg(9 percentile).
