|
KMID : 0381219740060070361
|
|
Journal of RIMSK
1974 Volume.6 No. 7 p.361 ~ p.370
|
|
|
Atresia and Stenosis of Intestine, excluding Duodenum(Neonatal Surgery 10)
|
|
|
|
|
Abstract
|
|
|
During last 20 years several aspects of congenital atresia. of intestine were cleared: 1) duodenal atresia and jejunoileal atresia probably represent two distinct entities; 2) jejunoileal atresiais probably an acquired condition, the result of an intestinal vascular accident in uterine life; 3) resection of distended and atonic proximal bowel, especially in jejunal atresia, is necessary for effective peristalsis following anastomosis; and 4) ideally, intestinal continuity should be re-established, preferably by a primary end-to-end anastomosis.
Great improvement in survival rate occured during last 20 years due to better understanding of this aspect and to application of these principles to the patient care, beside improvement of child care in surgery.
With collective review of this disease entities, 13 patient with jejuno-ileal-colonic atresia and stenosisseen at the SEOUL NATIONAL UNIVERSITY HOSPITAL during 1963^?1973 period were studied. Following result obtained; 1) There were 6 jejunal atresia, 5 ileal atresia, 1 ileal stenosis, and 1 colonic atresia; 2) six patients were admitted within 3 days of life. 3) accompanying anomalies were imperforate anus, and Neckel´s diverticulum; 4) resection of proximal dilated blind end were carried out except initial 2 cases; 5) Six cases of end -to-end, 4 cases of side-to-side and 2 cases of end-to-side anastomosis were used, and 6) over all mortality rate is 38% (5096 mortality in first 6 patient and 28% mortality in later 7 patients.
and incidence of sequelae of neonatal meningitis.Significance of early diagnosis and treatment of neonatal meningitis, especially antibiotic treatment is described with review of literatures.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|