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Laparoscope-assisted intestinal lengthening using an anterior flap in jejunal atresia.
- Source :
-
Pediatric surgery international [Pediatr Surg Int] 2015 Dec; Vol. 31 (12), pp. 1183-7. Date of Electronic Publication: 2015 Oct 24. - Publication Year :
- 2015
-
Abstract
- Background: Jejunal atresia with short bowel syndrome is an unusual type of jejunoileal atresia. They present with jejunal atresia near the ligament of Treitz and a foreshortened small bowel. In this paper, we report our preliminary experience to emphasize the advantages and feasibility of enteroplasty for intestinal lengthening and primary anastomosis with an anterior flap in jejunal atresia with short bowel syndrome in neonates.<br />Methods: Between January 2014 and December 2014, four neonates with jejunal atresia and short bowel syndrome were submitted to this procedure in our hospital. Enteroplasty for intestinal lengthening procedures was accomplished in all the neonates by laparoscopic-assisted procedure. The procedure was manually performed after exteriorization of the atretic bowel via the slightly enlarged umbilical port site incision.<br />Results: The mean operative time was 80 min (range 65-110 min). Blood loss was minimal. There was no mortality or surgical complication so far. The median follow-up duration was 14.5 months (range 9-20 months). In all the cases, the autonomy for oral/enteric feeding was obtained within 1 month after surgery. One neonate was readmitted because of associated cholestasis 1 month after the operation, and was cured by conservative therapy.<br />Conclusions: Enteroplasty for intestinal lengthening and primary anastomosis with an anterior flap is a safe and feasible technique that could allow increased tolerance to oral/enteric feeding, thereby improves their chances for quality survival.
- Subjects :
- Anastomosis, Surgical
Digestive System Surgical Procedures
Feasibility Studies
Female
Humans
Infant, Newborn
Laparoscopes
Male
Surgical Flaps
Treatment Outcome
Intestinal Atresia complications
Intestinal Atresia surgery
Jejunum surgery
Laparoscopy
Short Bowel Syndrome complications
Short Bowel Syndrome surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1437-9813
- Volume :
- 31
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Pediatric surgery international
- Publication Type :
- Academic Journal
- Accession number :
- 26499914
- Full Text :
- https://doi.org/10.1007/s00383-015-3803-z