Intestinal Atresia: Experience at a Busy Center of North-West India

• DOI: 10.21699/jns.v5i4.405
• Publication Date: 2016-10-08T13:06:09Z
• Authors: Shilpi Gupta; Rahul Gupta; Soumyodhriti Ghosh; Arun Kumar Gupta; Arvind Shukla; Vinita Chaturvedi; Praveen Mathur
• Keywords: Intestinal atresia; Perforation

Objective: To evaluate the presentation, management, complications and outcome of intestinal atresia (IA) managed at our center over a period 1 year. Materials methods: Records patients IA admitted in from January 2015 to December were retrospectively analyzed. Demographic data, antenatal history, presenting complaints, location (duodenal, jejunoileal, colonic) atresia, surgery performed peri-operative noted. Results: Total 78 cases included analyses. Mean age weight time presentation was 5.8 days (range 0-50), 1.9 kg 1.1-3.2), respectively. duodenal [DA (32)], jejuno-ileal [JIA (40)], colonic [CA (3)] multiple-location (sites) 3 cases. Ninety percent underwent within 5 20 hours admission. All DA except one Kimura's diamond shaped duodeno-duodenostomy. One case with perforated web duodenotomy excision web. Seven JIA CA required primary stoma, while rest by dilated proximal segment anastomosis. Complications anastomotic leak 5, perforation 2, functional obstruction 7, aspiration pneumonitis 3, wound infection 6 patients. hospital stay for survivors 11 days. Overall survival 63%. Conclusion: Late overcrowding intensive care unit, septicemia, are causes poor series. Early diagnosis, some modification surgical technique, use total parenteral nutrition adequate investigations other congenital anomalies may improve outcome.