Jejunoileal Atresia patients Survival-associated Prognostic Factor.

Introduction: Jejunoileal Atresia exhibits a fluctuating survival rate, influenced by factors such as Low Birth Weight (LBW), Small Gestational Age (SGA), and sepsis. Our objective was to compare and identify prognostic factors between Simple and Complex Jejunoileal Atresia. Methods: This retrospective study involved the analysis of medical records from neonates with Jejunoileal atresia who underwent surgery at our hospital from January 2017 to April 2021. Results: We found 25 neonates, 12 males and 13 females. We discovered 9 patients with LBW, 7 with SGA, and 15 with preoperative sepsis. In terms of type, 11 patients have a simple type and 14 have a complex type; from location, 13 patients have Jejunal atresia and 12 have Ileal atresia. overall survival rate is 40%. The survival rate for Complex type is 4 patients (28.6%), whereas survival for Simple type is 6 patients (54,5%), although not significant (p=0.241). Significant only found in a location that jejunal has a worse prognosis(p=0,008). Prognostic factors such as LBW (p=0.229) has 2 survival patients (22,2%), SGA (p=0.179) only has 1 survivor (14,3%), but 5 of 6 patients are in the complex type and all die, the survival for preoperative sepsis are 6 patients (40%) (p=1.000). The shortest median survival is LBW in 39 days, sepsis increases after surgery to 22 patients (88%) with 14 patients dying from sepsis. Conclusion: The notably low survival rate observed in our study aligns with identified prognostic factors, emphasizing the need for further exploration and in-depth investigation. [ABSTRACT FROM AUTHOR]