Five years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital

Introduction: Jejuno-ileal atresia is a major cause of neonatal intestinal obstruction. The aim of this study is to evaluate the incidence, clinical presentation, management, and outcome of jejunoileal atresia at our institute over a period of five years. Methods: The medical records of the pati...

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Autores principales:	Anupama Basnet, Bijay Thapa, Prativa Dhoubadel, Anuj Kayastha
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2020
Materias:	Complications Jejuno-ileal atresia Tapering Enteroplasty Surgery RD1-811
Acceso en línea:	https://doaj.org/article/ded9497c11784e738f06c06d0f159e91
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spelling	oai:doaj.org-article:ded9497c11784e738f06c06d0f159e912021-12-05T19:15:39ZFive years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital10.3126/jssn.v23i2.357941815-39842392-4772https://doaj.org/article/ded9497c11784e738f06c06d0f159e912020-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/35794https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Jejuno-ileal atresia is a major cause of neonatal intestinal obstruction. The aim of this study is to evaluate the incidence, clinical presentation, management, and outcome of jejunoileal atresia at our institute over a period of five years. Methods: The medical records of the patients with the diagnosis of jejunoileal atresia during a period of five years (April 2014 to April 2019) were obtained from the hospital record section and surgical intensive care unit, and were reviewed and analyzed. Results: There were 61 cases of jejunoileal atresia among 144 cases of intestinal atresia. Twenty-nine (47.5%) of them were male. Laparotomy with resection of atretic part with anti-mesenteric tapering enteroplasty and end to end anastomosis was done in 15, and resection without tapering enteroplasty with end to end anastomosis was done in 39 patients. Thirty-eight patients (62.3%) were discharged while Twenty-three (37.7%) cases were lost to mortality. Conclusions: Although the mortality and morbidity rate are high in jejunoileal atresia, early diagnosis, improvement in surgical technique, modern ventilatory support and advanced in intensive care unit has led to the significant increase in the survival rate. Anupama BasnetBijay ThapaPrativa DhoubadelAnuj KayasthaSociety of Surgeons of NepalarticleComplicationsJejuno-ileal atresiaTapering EnteroplastySurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 23, Iss 2 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Complications Jejuno-ileal atresia Tapering Enteroplasty Surgery RD1-811
spellingShingle	Complications Jejuno-ileal atresia Tapering Enteroplasty Surgery RD1-811 Anupama Basnet Bijay Thapa Prativa Dhoubadel Anuj Kayastha Five years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital
description	Introduction: Jejuno-ileal atresia is a major cause of neonatal intestinal obstruction. The aim of this study is to evaluate the incidence, clinical presentation, management, and outcome of jejunoileal atresia at our institute over a period of five years. Methods: The medical records of the patients with the diagnosis of jejunoileal atresia during a period of five years (April 2014 to April 2019) were obtained from the hospital record section and surgical intensive care unit, and were reviewed and analyzed. Results: There were 61 cases of jejunoileal atresia among 144 cases of intestinal atresia. Twenty-nine (47.5%) of them were male. Laparotomy with resection of atretic part with anti-mesenteric tapering enteroplasty and end to end anastomosis was done in 15, and resection without tapering enteroplasty with end to end anastomosis was done in 39 patients. Thirty-eight patients (62.3%) were discharged while Twenty-three (37.7%) cases were lost to mortality. Conclusions: Although the mortality and morbidity rate are high in jejunoileal atresia, early diagnosis, improvement in surgical technique, modern ventilatory support and advanced in intensive care unit has led to the significant increase in the survival rate.
format	article
author	Anupama Basnet Bijay Thapa Prativa Dhoubadel Anuj Kayastha
author_facet	Anupama Basnet Bijay Thapa Prativa Dhoubadel Anuj Kayastha
author_sort	Anupama Basnet
title	Five years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital
title_short	Five years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital
title_full	Five years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital
title_fullStr	Five years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital
title_full_unstemmed	Five years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital
title_sort	five years experiences in diagnosis and management of jejuno-ileal atresia in kanti children’s hospital
publisher	Society of Surgeons of Nepal
publishDate	2020
url	https://doaj.org/article/ded9497c11784e738f06c06d0f159e91
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Five years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital

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