| Congenital colonic atresia: should primary anastomosis always be the goal? | |
| | |
MedLine Citation:
|
PMID: 12721715 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
A C Watts; A J Sabharwal; G A MacKinlay; F D Munro |
Related Documents
:
|
22071925 - Risk of venous thromboembolism after spinal cord injury: not all levels are the same. 9081255 - Early surgical management of invasive gingival aspergillosis in a neutropenic patient w... 21792155 - Percutaneous mechanical thrombectomy: advantages and limitations. 18814015 - Natural orifice translumenal endoscopic surgery (notes) applied totally to sigmoidectom... 22972525 - Systematic review and meta-analysis of outcomes following emergency surgery for clostri... 1822955 - Early postoperative mortality following hysterectomy. a danish population based study, ... |
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 |
Affiliation:
|
Department of Pediatric Surgery, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anastomosis, Surgical Colonic Diseases / congenital, surgery* Colostomy Female Humans Infant, Newborn Intestinal Atresia / surgery* Male |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Carbon dioxide laser circumcisions for children.
Next Document: A prospective comparison of tissue glue versus sutures for circumcision.