The records of 28 patients with duodenal and 31 with jejunoileal intestinal atresia or stenosis were studied. Pdf over a year period, 24 children with intestinal atresia were managed at the jos university teaching hospital, jos, nigeria. Intestinal atresia is the main cause of obstruction in the digestive tract in newborn. Intestinal atresia is a congenital present at birth birth defect that develops when part of the intestines are missing or blocked. Over a year period, 24 children with intestinal atresia were managed at the jos university teaching hospital, jos, nigeria. A free powerpoint ppt presentation displayed as a flash slide show on id. In the following article we describe a case of intestinal atresia detected during prenatal screening and the sub. Intestinal atresia is one of the most frequent causes of.
Intestinal atresia is a wellrecognized cause of bowel obstruction in the newborn. Abstract pyloric atresia is a rare malformation of the alimentary tract. Intestinal atresia fig 5 is classified into 5 types. Article pdf available in pediatric surgery international 201112. Approximately onehalf of the cases involve the duodenum. Diplomate of the national board, additional professor, department of pediatric surgery, all india institute of medical sciences, 110 029, new delhi. Defecto gentico autosmico vomito no biliar y distensin abdominal superior atresia pilorica tratamiento qx. Prenatal ultrasonography makes possible an early diagnosis and treatment with better survival. Ileal atresia, intestinal obstruction, neonatal abdominal distention. Intestinal atresia accounts for about one third of all cases of neonatal intestinal obstruction. Pediatric ct plays a very limited if any role in diagnosis and. Guttman fm, braun p, bensoussan al, blanchard h, desjardins jg, collin pp. Patients and methods we performed a retrospective case series study of 148 patients in a year period 19902003.
Intestinal atresia is one of the most frequent causes of bowel obstruction in the newborn and can occur at any point in the gastrointestinal tract. And the diagnosis was performed during the first 24 hours alter birth in 54. Summary in this report, we describe a newborne child with a gestation age of 40 weeks. Atresia intestinal, obstruccion intestinal, diagnostico prenatal, polihidramnios. The atresia blockage most often occurs along the small intestine divided into the duodenum, jejunum, and ileum. The level of obstruction was duodenal in 8 infants, jejunoileal in 128. Thus the diagnosis and management of this entity is relevant to clinical practice. At the 36 weeks of pregnancy an ultrasound study done to the mother shown that the baby had multiple intestinal atresias. The management of neonates with intestinal atresia has improved in recent decades due to refinements in neonatal intensive care, operative technique, use of total parenteral nutrition tpn, and neonatal anesthesia. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext.
Ppt atresia esofagica powerpoint presentation free to. Masculine sex was predominant, and vomiting was present in all patients of our study. Intestinal atresia ranks as the second most common cause of neonatal intestinal obstruction after anorectal malformation in our hospital. Intestinal atresia is a congenital obstruction of the intestine, sometimes associated with a loss of tissue, resulting in a disruption of intestinal continuity. Atresia ileal congenita pedro cuevas estandia summary congenital intestinal atresias have an incidence of 1 in 2,000 to one in 5,000 live births.
A retrospective analysis of the pediatrics charts with principal. Pdf the intestinal atresia is one of the most important causes of intestinal obstruction in newborn. Duodenal atresia and stenosis statpearls ncbi bookshelf. A populationbased sample of 277 neonates with intestinal atresia and stenosis treated from july 1, 1972, through april 30, 1997. Intestinal atresia is any congenital malformation of the structure of the intestine that causes. The incidence of intestinal atresia in the general population ranges according to the number of reported patients. The outcome of intestinal atresia following surgical repair is. Intestinal obstruction in neonatalpediatric surgery. Colonic atresia is the least frequent cause of neonatal intestinal obstruction. These defects can either occur in the small or large intestine. Duodenal atresia is a congenital intestinal obstruction that can cause bilious or.
Intestinal atresia has been reported with a frequency of 1920%, with 35% of type ii, 2046% type iiia, iiib 7% and 614% iv. The malformation can be a narrowing, absence or malrotation of a portion of the intestine. The incidence of intestinal atresia to vary from 1. Objectives to describe the morbidity and mortality associated with congenital gastrointestinal obstruction, assess the usefulness of prenatal diagnosis, and analyze the results in relation to the site of obstruction. Vomiting and abdominal distention were the most prominent symptoms. Malformaciones congenitas digestivas pediatria integral. The intestinal atresia was located in jejunum ileum in 63,6% of the cases, and septic complicatins were frequent. Intestinal atresia is any congenital malformation of the structure of the intestine that causes bowel obstruction. Of these, the patients with the diagnosis of duodenal. A very rare case of intestinal atresia, the apple peel syndrome.