Document Detail

Congenital colonic atresia: should primary anastomosis always be the goal?
MedLine Citation:
PMID:  12721715     Owner:  NLM     Status:  MEDLINE    
We report 4 cases of the rare condition, congenital colonic atresia, presenting over 9 years. Two patients had dilated loops of bowel noted on routine ante-natal ultrasound. Three had primary anastomosis for lesions in transverse or distal descending colon and one had a staged procedure with colostomy formation. All had type III atresia. One patient had an early leak following primary colo-colic anastomosis for atresia extending from the hepatic flexure to the sigmoid colon. If it is desired to preserve the proximal colon in a right sided lesion with significant loss of colonic length then primary anastomosis may not be safe and we would advocate a staged procedure. Otherwise we would support current moves towards primary anastomosis in this condition. We also urge early investigation in all patients who exhibit intestinal dilatation on antenatal ultrasound.
A C Watts; A J Sabharwal; G A MacKinlay; F D Munro
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2003-03-10
Journal Detail:
Title:  Pediatric surgery international     Volume:  19     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-30     Completed Date:  2003-10-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  14-7     Citation Subset:  IM    
Department of Pediatric Surgery, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF.
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MeSH Terms
Anastomosis, Surgical
Colonic Diseases / congenital,  surgery*
Infant, Newborn
Intestinal Atresia / surgery*

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