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KMID : 0371320090770060423
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Journal of the Korean Surgical Society
2009 Volume.77 No. 6 p.423 ~ p.428
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Clinical Considerations of Intestinal Atresia
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Jeong In-Oh
Choe Yun-Mee
Kim Jang-Young
Choi Sun-Keun
Heo Yoon-Seok
Lee Kun-Young
Kim Sei-Joong
Cho Young-Up
Ahn Seung-Ick
Hong Kee-Chun
Shin Suk-Hwan
Kim Kyung-Rae
Seo Jeong-Min
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Abstract
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Purpose: The mortality of intestinal atresia has decreased remarkably owing to prenatal diagnosis, development of diagnosis method, neonatal intensive care, surgical technique, total parenteral nutrition and performing of early surgery. The clinical consideration of our experience about intestinal atresia would be helpful in the understanding of disease.
Methods: We reviewed the clinical presentation, hospital days, diagnosis method, surgical method, postoperative early complication and mortality based on medical records, retrospectively, in 32 cases of intestinal atresia encountered at Inha University Hospital between March 1997 and May 2009.
Results: The involved sites were; duodenum (n=11; 34.4%), jejunoileum (n=20; 62.5%), and colon (n=1; 3.1%). The mean postoperative fasting time was 6.38 days. The postoperative morbidity was 9.4% and mortality was 3.1%.
Conclusion: Complete recovery from intestinal atresia can be insured by prompt diagnosis, early surgery and careful neonatal intensive care.
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KEYWORD
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Intestinal atresia, Early diagnosis, Neonatal intensive care
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