Worst Prognosis in the “Complex” Jejunoileal Atresia: Is It Real?

Federici, Silvana; Sabatino, Maria Domenica; Domenichelli, Vincenzo; Straziuso, Simona

doi:10.1055/s-0034-1370772

Cited by 6 publications

(6 citation statements)

References 16 publications

(46 reference statements)

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“…Type 3b jejunoileal atresia is the least common, most severe form of intestinal malformations, and with poorest outcome compared to other types. 4 Type 3b JIA occurs in 11% of all small bowel atresia. Jejunoileal atresia is caused by an ischemic insult to a segment of the developing fetal bowel during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…Jejunoileal atresias were first classified by Grosfeld et al into types 1, 2, 3a, 3b, and 4 (Table 1). 4 Type 3b, also known as apple peel small bowel syndrome, are the least common, yet the most severe congenital jejunoileal malformations 4 …”

Section: Introductionmentioning

confidence: 99%

“…2,3 Jejunoileal atresias were first classified by Grosfeld et al into types 1, 2, 3a, 3b, and 4 (Table 1). 4 Type 3b, also known as apple peel small bowel syndrome, are the least common, yet the most severe congenital jejunoileal malformations. 4 2 | CASE REPORTS 2.1 | Case report 1 2.1.1 | Case history/examination A 7-day-old female baby presented with abdominal distension 3 days after birth.…”

mentioning

confidence: 99%

“…4 Type 3b, also known as apple peel small bowel syndrome, are the least common, yet the most severe congenital jejunoileal malformations. 4 2 | CASE REPORTS 2.1 | Case report 1 2.1.1 | Case history/examination A 7-day-old female baby presented with abdominal distension 3 days after birth. It was of gradual onset, worsening with time, and associated with vomiting bilious contents after feeds.…”

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confidence: 99%

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Type 3B jejunoileal atresia management at a tertiary hospital in northern Tanzania: A report of three cases

Rwomurushaka,

Msuya,

Mbwambo

et al. 2024

Clinical Case Reports

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Key Clinical MessageJejunalileal atresia is a cause of intestinal obstruction in the newborn, hence a surgical emergency. Prenatal diagnosis can be made by simple obstetric ultrasound and postnatal by plain abdominal x‐ray to plan a multidisciplinary approach to reduce morbidity and neonatal mortality.AbstractAtresia can occur anywhere along the intestines and is a common cause of intestinal obstruction in neonates. Jejunoileal atresia (JIA) is a rare disease occurring in 2.1 per 10,000 live births. Type 3b jejunoileal atresia occurs in 11% of all small bowel atresia. We present three cases of type 3b jejunoileal atresia. They were all missed by prenatal ultrasonography, and presented with features of intestinal obstruction. The diagnosis was confirmed by plain abdominal x‐rays and ultrasound, followed by laparotomy. Postoperative care was given in the neonatal unit according to local protocols. One recovered, however, two succumbed from neonatal infection. Jejunoileal atresia requires surgery and long postoperative care, with outcomes associated with numerous prognostic factors including multidisciplinary care and neonatal intensive care. Jejunoileal atresia is less commonly associated with other congenital anomalies, unlike duodenal atresia. Efforts are needed to scale up prenatal diagnosis of jejunoileal atresia, and therefore to plan for appropriate care after delivery. Also, further studies are needed to understand neonatal sepsis in the postoperative period and ways to improve outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Type 3B jejunoileal atresia management at a tertiary hospital in northern Tanzania: A report of three cases

Rwomurushaka,

Msuya,

Mbwambo

et al. 2024

Clinical Case Reports

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“…В 90 % случаев атрезия затрагивает один сегмент кишечника, однако имеются данные о множественных атрезиях, которые чаще всего сочетаются с патологией со стороны тощей кишки [18,19].…”

Section: топографоанатомические и морфологические характеристики кишечника у новорожденных при атрезииunclassified

Surgical treatment of newborns with small bowel atresia (literature review)

Batchenko¹,

Mokrushina²,

Gogichaeva³

2020

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Intestinal atresia is a congenital obstruction of the lumen of the jejunum or ileum and is one of the most common causes of congenital obstruction in newborns. This literature review is devoted to the surgical treatment of newborns with various types intestinal atresia. Causes of intestinal atresia are considered, where a special role is assigned to the genetic theory, the expression of the nucleotide sequences ITGA2 873G/A and NPPA 2238T/C and antenatal circulatory disorders of the developing intestine. Topographical-anatomical and morphological characteristics of the intestine in newborns with intestinal atresia are studied in detail in articles. A table of revealed histomorphological features of the small intestine in children with atresia was compiled. In addition, processes occurring in the mucosa, submucosa, muscle, and serous membranes are described in detail. A relationship was found related to the size of the atresia site and duration of ischemia. The theory of neuromuscular regulation of the intestine is considered, in which an important role is assigned to interstitial pacemaker cells of Cajal. Variants of anastomosis depending on the difference in diameters of the adductor and excretory parts of the intestine are analyzed, and results of treatment in patients with laparoscopic access are described. The postoperative course of disease, development of complications, recurrent operative interventions, duration of parenteral nutrition, and onset of enteral load was evaluated. Conclusion. The choice of surgical technologies used to restore the patency of the intestinal tube is determined by the degree of discrepancy between diameters of anastomosed segments. The prognosis is not determined by tactics of surgical treatment, type of atresia, time before treatment, and presence of associated anomalies.

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Small Bowel Congenital Anomalies: a Review and Update

Morris

Kennedy

Cochran

2016

Curr Gastroenterol Rep

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The small intestine is a complex organ system that is vital to the life of the individual. There are a number of congenital anomalies that occur and present most commonly in infancy; however, some may not present until adulthood. Most congenital anomalies of the small intestine will present with obstructive symptoms while some may present with vomiting, abdominal pain, and/or gastrointestinal bleeding. Various radiologic procedures can aid in the diagnosis of these lesions that vary depending on the particular anomaly. Definitive therapy for these congenial anomalies is surgical, and in some cases, surgery needs to be performed urgently. The overall prognosis of congenital anomalies of the small intestine is very good and has improved with improved medical management and the advent of newer surgical modalities. The congenital anomalies of the small intestine reviewed in this article include malrotation, Meckel's diverticulum, duodenal web, duodenal atresia, jejunoileal atresia, and duplications.

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Worst Prognosis in the “Complex” Jejunoileal Atresia: Is It Real?

Cited by 6 publications

References 16 publications

Type 3B jejunoileal atresia management at a tertiary hospital in northern Tanzania: A report of three cases

Type 3B jejunoileal atresia management at a tertiary hospital in northern Tanzania: A report of three cases

Surgical treatment of newborns with small bowel atresia (literature review)

Small Bowel Congenital Anomalies: a Review and Update

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