Clinical pattern of colonic atresia, management, and outcome in an indian tertiary Care Center

Tripathy, Prasanta Kumar; Jena, Pradeep Kumar; Mohanty, Hiranya Kishor

doi:10.4103/jcn.jcn_92_19

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…A vascular insult is the most accepted theory for isolated CA, while exaggerated inflammatory response and immunologic theory have shown some acceptance for BA. [ 1 3 ] The theory behind the co-occurrence of CA along with BA, as in our case, is a challenge to understand. Genetic defects or generalized defects during embryogenesis might be etiopathology.…”

Section: Discussionmentioning

confidence: 94%

“…Colonic atresia (CA) is a rare type of intestinal atresia with an incidence of 1:1500–1:66000 live births. [ 1 ] Compared to other types of intestinal atresia, CA is more commonly associated with other anomalies. [ 1 ] Biliary atresia (BA) is a progressive cholangiopathy with an incidence of 1:8000–1:18000 live births.…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 ] Compared to other types of intestinal atresia, CA is more commonly associated with other anomalies. [ 1 ] Biliary atresia (BA) is a progressive cholangiopathy with an incidence of 1:8000–1:18000 live births. BA is usually an isolated anomaly, but syndromic variants are well known.…”

Section: Introductionmentioning

confidence: 99%

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Colonic atresia associated with biliary atresia

Mahajan,

Solanki,

Singhai

et al. 2023

J Indian Assoc Pediatr Surg

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Colonic atresia associated with biliary atresia

Mahajan,

Solanki,

Singhai

et al. 2023

J Indian Assoc Pediatr Surg

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“…Focusing on CA signs and symptoms, a retrospective study done in India concluded that the common presenting signs and symptoms were distended abdomen, constipation, and bilious vomiting [9]. Moreover, meconium-stained penis and dehydration can be presented in CA patients [10].…”

Section: Discussionmentioning

confidence: 99%

Staged Repair Using Modified Bishop-Koop Procedure in Complicated Congenital Colonic Atresia in a Neonate

Neazy¹,

Basamh²,

Kamal³

et al. 2021

Cureus

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Colonic atresia (CA) is the rarest type of intestinal atresia and is defined as an obstruction in the large intestinal lumen. This is a rare case presentation of a four-day-old full-term female patient presented with signs and symptoms of intestinal obstruction. Investigation revealed that she had complicated CA located in the splenic flexure. Laparotomy and colostomy were done on the patient. About two months later, she was admitted for stoma closure, which was converted to modified Bishop-Koop stoma. Lastly, the patient underwent a successful stoma closure. Upon one month of follow-up, the patient's condition has markedly improved and the wound healed well without any complications.

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“…Since it is a rare condition, it is challenging for pediatric surgeons in terms of its diagnosis and management. [6] Disruption of intrauterine blood supply to the colon has been reported as the main cause of CA and usually happens at late gestation. [1,2] The vascular abruption can be either attributed to intrinsic or extrinsic factors.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of primary anastomosis for right-sided colonic atresia: A case report

Suhaimi

Othman

Kamilen³

2021

J Neonatal Surg

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Background: Colonic atresia (CA) is a rare cause of congenital intestinal obstruction. The management of CA is challenging because of its rarity. Case Presentation: We present a case of right-sided CA in a term male baby weighing 3006 gm, without any other comorbidity. Type 1 atresia was seen at ascending colon and upon decompression, a reasonable caliber was achieved for a primary anastomosis following distal Cheatle slit and proximal tapering. Postoperative recovery was uneventful. Conclusion: Primary anastomosis is a feasible option in right-sided CA when no major comorbidity is present and a normal distal colon with reasonable caliber is certain.

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Clinical pattern of colonic atresia, management, and outcome in an indian tertiary Care Center

Cited by 4 publications

References 10 publications

Colonic atresia associated with biliary atresia

Colonic atresia associated with biliary atresia

Staged Repair Using Modified Bishop-Koop Procedure in Complicated Congenital Colonic Atresia in a Neonate

Feasibility of primary anastomosis for right-sided colonic atresia: A case report

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