BibTex RIS Cite

Our clinical experience in intestinal atresia patients

Year 2019, Volume: 11 Issue: 1, 10 - 13, 01.04.2019

Abstract

Intestinal atresia is a rare congenital malformation that requires surgical intervention. Aim of this study, the results of this experience and share our clinic for the treatment of severe congenital anomalies. To this end, the treatment in our clinic between July 2006 and July 2011 and followedup 75 patients with intestinal atresia were examined. These patients, gender, ekanomalileri, antenatal surveillance, pre-operative follow-up, operation procedure, and complications were evaluated for postoperative follow-up. 33 of these patients 44% were male and 42 56% were female. Most of the cases 60% had no antenatal diagnosis. The average birth weight of 2520 g. 900-4100 g . Average of 118 hours in our clinic arrival times 5 hours-40 days . Admission, the patients 50% percent with sepsis. Most of these infants 66% had additional anomalies. The patients were operated on as soon as appropriate. After surgery, patients were followed up for the baby in intensive care, and experienced personnel. Early diagnosis is very important. Patients should be operated as soon as appropriate. Instead of applying a standard surgical and follow-up, the patient should apply the most appropriate initiatives. Complications, and appropriate intervention should be determined before proceeding

References

  • 1.Grosfeld JL: Jejunoileal atresia and stenozis. In O’neill JA, Rowe MI, Grosfeld JL el al(eds):Pediatric Surgery, Mosby, St.Louis, 1988,pp.1145-1158.
  • 2.JD Cragan, ML Martin and CA Moore et al., Descriptive epidemiology of small intestinalatresia, Atlanta, Georgia, Teratology 48 (1993), pp. 441–450.
  • 3.Shafie ME, RickhamPP (Multiple intestinal atresia. J Pediatr Surg 5(1970):655-659 .
  • 4.Jackman S, Brereton RJ. A lesson in intestinal atresias.J Pediatr Surg 1988; 23: 852–3
  • 5.Grosfeld JL: Alimentary tract obstruction in the newborn. Curr probl Pediatr 5:3,1975
  • 6.Grosfeld JL: Jejunoileal atresia and stenosis, in Welch KJ, Randolph JG, Ravitch MM, O’Neill JA Jr, Rowe MI (eds): Pediatric Surgery.
  • 7.Donnellan WL and Schafer JC:Jejunal and ileal atresia :abdominal surgery of infancy and Childhood, Luxemburg,Harwood Academic Publishers,2001 pp. 18/1-13
  • 8.Millar AJW, Rode H(esc): Intestinal atresia and stenosis. In Ashcraft KW et al. (eds): Pediatr Surg, Third Edition, WB Saunders Company, Philedelphia, 2000,pp.410-420.
  • 9.Grosfeld L,Ballantine TVN et al: Operative management of intestinal atresia and stenosis based on pathologic findings. J Pediatr Surg 14: 369-375,1979.
  • 10.Haller JA, Tepas JJ, Pickard LR, et al: Intestinal atresia current concepts of pathogenesis, pathophysiology and operative management. Am Surg 49: 385-391, 1983
  • 11. Haller JA, Tepas JJ, Pickard LR, et al: Intestinal atresia current concepts of pathogenesis, pathophysiology and operative management. Am Surg 49: 385-391, 1983
  • 12. A. Can Başaklar. Bebek ve Çocukların Cerrahi ve Ürolojik Hastalıkları. Şubat 2006.

İntestinal atrezili olgularda klinik deneyimimiz

Year 2019, Volume: 11 Issue: 1, 10 - 13, 01.04.2019

Abstract

Intestinal atrezi; nadir görülen ve cerrahi müdahale gerektiren bir konjenital malformasyondur. Bu çalışmada amacımız, bu ciddi konjenital anomalinin tedavisi konusunda kliniğimizin deneyim ve sonuçlarını paylaşmaktır. Bu amaçla; Temmuz 2006 ile Temmuz 2011 tarihleri arasında kliniğimizde tedavisi ve takibi yapılan 75 intestinal atrezili hasta incelendi. Bu hastalar; cinsiyetleri, ekanomalileri, antenatal takipleri, ameliyat öncesi takipleri, uygulanan ameliyat prosedürü, postoperatif takipleri ve komplikasyonları açısından değerlendirildi. Bu hastaların 35’i %47 erkek, 40’i %53 kızdı. Olguların çoğunun %60 antenatal tanısı yoktu. Ortalama doğum ağırlıkları 2520 gramdı 9004100 gr . Kliniğimize ortalama geliş süreleri 118 saatti 5 saat-40 gün . Başvuru anında, hastaların %50 ’si septikti. Bu bebeklerin çoğunda %66 ek anomali mevcuttu. Hastalar uygun olan en kısa sürede ameliyat edildi. Sonuç olarak erken tanı çok önemlidir. Standart bir cerrahi ve takip uygulamak yerine; hastaya en uygun girişimleri uygulamak gerekir. Klinik tecrübe ve yeterli yoğun bakım koşulları mortaliteyi azaltır. Komplikasyonların, ilerlemeden önce tespit edilmesi ve gerekli müdahalenin yapılması gerekir

References

  • 1.Grosfeld JL: Jejunoileal atresia and stenozis. In O’neill JA, Rowe MI, Grosfeld JL el al(eds):Pediatric Surgery, Mosby, St.Louis, 1988,pp.1145-1158.
  • 2.JD Cragan, ML Martin and CA Moore et al., Descriptive epidemiology of small intestinalatresia, Atlanta, Georgia, Teratology 48 (1993), pp. 441–450.
  • 3.Shafie ME, RickhamPP (Multiple intestinal atresia. J Pediatr Surg 5(1970):655-659 .
  • 4.Jackman S, Brereton RJ. A lesson in intestinal atresias.J Pediatr Surg 1988; 23: 852–3
  • 5.Grosfeld JL: Alimentary tract obstruction in the newborn. Curr probl Pediatr 5:3,1975
  • 6.Grosfeld JL: Jejunoileal atresia and stenosis, in Welch KJ, Randolph JG, Ravitch MM, O’Neill JA Jr, Rowe MI (eds): Pediatric Surgery.
  • 7.Donnellan WL and Schafer JC:Jejunal and ileal atresia :abdominal surgery of infancy and Childhood, Luxemburg,Harwood Academic Publishers,2001 pp. 18/1-13
  • 8.Millar AJW, Rode H(esc): Intestinal atresia and stenosis. In Ashcraft KW et al. (eds): Pediatr Surg, Third Edition, WB Saunders Company, Philedelphia, 2000,pp.410-420.
  • 9.Grosfeld L,Ballantine TVN et al: Operative management of intestinal atresia and stenosis based on pathologic findings. J Pediatr Surg 14: 369-375,1979.
  • 10.Haller JA, Tepas JJ, Pickard LR, et al: Intestinal atresia current concepts of pathogenesis, pathophysiology and operative management. Am Surg 49: 385-391, 1983
  • 11. Haller JA, Tepas JJ, Pickard LR, et al: Intestinal atresia current concepts of pathogenesis, pathophysiology and operative management. Am Surg 49: 385-391, 1983
  • 12. A. Can Başaklar. Bebek ve Çocukların Cerrahi ve Ürolojik Hastalıkları. Şubat 2006.
There are 12 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Yılmaz Arayıcı This is me

Özben Yalçın This is me

Selçuk Otçu This is me

Publication Date April 1, 2019
Published in Issue Year 2019 Volume: 11 Issue: 1

Cite

Vancouver Arayıcı Y, Yalçın Ö, Otçu S. İntestinal atrezili olgularda klinik deneyimimiz. Maltepe tıp derg. 2019;11(1):10-3.