Small bowel atresia of new born is one of the rare congenital disease, which needs operation on the time of being diagnosed at once.
Recently, the mortality rate of this disease has been decreased due to development of anesthesia, surgical technique, postoperative supportive treatment and hyperalimentation technique.
But more attention and concern should be given to the baby of premature, low birth weight and associated anomalies because of still high mortality rate in these newborns.
This is clinical analysis of 10 patients with congenital intestial atresia which were treated at the Department of Surgery of Kwangju Christian Hospital from 1981 to December 1990 January.
1) 5 were male and 5 were female, a ratio of 1 : 1.
2) There were 10 cases duodenal atresia in 4(40%), jejunoileal atresia in 6(60%).
3) 4 were low birth weight and 3 were premature.
4) Clinical symptoms were bilious vomiting in 10 cases, abdominal distension in 7 cases, dehydration in 7 cases, and no passage of meconium in 3 cases.
5) Associated anomalies were in 2 cases, 1 Down syndrome and 1 meconium ileus.
6) Diagnosis was possible with clinical symptoms, simple abdomen. UGI and enema with gastrografin.
7) The most common type of jejunoileal atresia was type IIIa.
8) Operation method was duodenojenunostomy in duodenal atresia and resection and anastomosis in jejunoileal atresia.
9) 3 patients were died and 2 of these 3 were premature.
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