Intestinal Web in Jejunum and Ileum among Children: A series of 11 cases

Objective: Web in the small intestine of children is not a commonly encountered entity. Due to partial obstruction, patients may present with varied symptoms and at different ages. The study objective was to share our experience over the web in Jejunum and Ileum regarding its presentation, management, and outcome. Study type, settings & duration: This retrospective descriptive case series was conducted at Medicare Hospital, Saidpur Road, Rawalpindi from January 2021 to December 2022. Methodology: This descriptive case series was experience at a pediatric surgery center over twelve years. All patients with the diagnosis of web in the small intestine were included. The demographic details, presentation, investigations, management, and postoperative course were noted. Data was analyzed by SPSS version 26. Results: Eleven patients with web in small intestine were included in this study. The mean age of the patients was 35.42±50.81 months, and six patients (54.5%) were male. All patients presented with features of intestinal obstruction. All patients underwent surgery. Per-operatively, the web was found in 4 patients (36.4%) in the jejunum, while in 7 patients (63.6%), it was in the ileum. The mean hospital stay of the patients was 15.54±8.74 days. Nine of our patients (81.8%) were discharged safely to home; however, two patients (18.2%) died. The web of jejunum was found to be significantly associated with higher ventilator requirements, anastomotic leakage, redo surgery required, time to start an oral feed and total hospital stay compared to Ileal web. Conclusion: Web in the small intestine are rare and ...........