Transanastomotic feeding jejunostomy with nasogastric aspiration in case of jejuno-ileal atresia for early feeding and better out come: Five year experience
Keywords:
transanostomotic feeding jejunostomy, , jejuno-ileal atresia
Abstract
Aim: To evaluate the role of Transanastomotic feeding jejunostomy with nasogastric aspiration in case of-jejuno-ileal atresiaMethods: Transanastomotic feeding jejunostomy with end-to-end anastomosis was done in 25 neonates of jejuno-ileal atresia and the results were compared with traditional method of end to end anastomosis in 25 cases of atresia without transanostomotic feeding jejunostomy.Results: We found less mortality and morbidity (1%) in anastomosis with transanostomotic feeding jejunostomy technique as compared to anastomosis without feeding jejunostomy (20%).Conclusions: We recommend this technique, as anastomosis is safe with early feeding with good outcomeReferences
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2. Benson CD, Llyod JR, Smith JD. Resection and primary anastomosis in management of stenosis and atresia of jejunum and ileum. Pediatrics. 1960;26:265–72.
3. Nixon HH, Tawes R. Etiology and treatment of small intestinal atresia: Analysis of a series of 127 jejunoileal aresia and comparison with 62 duodenal atresia. Surgery. 1971;69:41–51.
4. Gambee LP. A single layer open intestinal anastomosis applicable to the small as well as large intestine. West J Surg Obstet Gynecol. 1951;59:1–8.
5. Kimura S, Tomooka Y, Inao A. Intestinal anastomosis by Gambee's single layer anastomosis in infants. J Jpn Surg Soc. 1980;81:1115–6.
6. Halsted WS. Circular suture of the intestine: An experimental study. Am J Med Sci. 1887;94:436–41.
7. Kimura K, Tsugawa T, Matsumoto Y. Halsted's anastomosis in intestinal atresia. J Jpn Surg Soc. 1980;81:1113–4.
8. Thomas CG. Jejunoplasty for correction of jejunal atresia. Surg Gynecol Obstet. 1969;129:545–6.
9. Howard ER, Othersen HB. Proximal jejunoplasty in the treatment of jejunal atresia. J Pediatr Surg. 1973;8:685–90.
10. Thomas CG, Carter JM. Small intestinal atresia: The critical role of a functioning anastomosis. Ann Surg. 1974;179:663–70.
11. Grosfeld JL, Ballantine TV, Shoemaker R. Operative management of intestinal atresia and stenosis based on pathological finding. J Pediatr Surg. 1979;14:368–75.
12. Patil VK, Kulkarni BK, Jiwane A, Kothari P, Poul S. Intestinal atresia: An end to end anastomotic technique. Pediatr Surg Int. 2001;17:661–3.
13. Evans CH. Atresia of gastrointestinal tract. Surg Gynecol Obstet. 1951;92:61–5.
Published
2017-12-16
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