Document Detail


Atresia of the colon.
MedLine Citation:
PMID:  16080929     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/PURPOSE: Colonic atresia (CA) is one of the rarest causes of neonatal intestinal obstructions, and no large series can be reported. Therefore, we did perform a retrospective clinical trial to delineate our CA cases and carry out a literature survey. METHODS: We reviewed the charts of CA cases treated in our center between 1992 and 2002. We aimed to collect all reported cases in Medline, and personal communications with the authors of published series were used to reach the missing data. RESULTS: The chart review revealed 9 newborns with CA treated in our center (6 cases of type III, 2 cases of type II, and 1 case of type IV). These accounted for 3.7% of all gastrointestinal atresias managed in our center. Of the CA cases, 3 were isolated and 6 had at least one or more associated congenital anomalies. The preferred surgical technique at the initial treatment of CA was performing a proximal stoma and distal mucous fistula in an average of postnatal 59.4 hours. The literature survey enabled us to reach 224 cases of CA, including our cases. CONCLUSIONS: Because of the low incidence of CA, delay in diagnosis and treatment may occur. The mortality is statistically higher when the surgical management is performed after 72 hours of age. However, the prognosis of CA is satisfactory if diagnosis and surgical management could be made promptly and properly.
Authors:
Barlas Etensel; Günyüz Temir; Aytaç Karkiner; Mehmet Melek; Yeşim Edirne; Irfan Karaca; Erol Mir
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  40     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-05     Completed Date:  2006-02-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1258-68     Citation Subset:  IM    
Affiliation:
Department of Pediatric Surgery, Adnan Menderes University, 09100 Aydin, Turkey. betensel@adu.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Colon / abnormalities*
Colostomy
Digestive System Abnormalities / complications
Female
Humans
Infant, Newborn
Intestinal Atresia / complications*,  pathology,  surgery
Intestinal Obstruction / etiology,  mortality,  surgery*
Jejunostomy
Male
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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