Chen Xingzhao,Lyu Zhibao.Current status of surgical treatment of congenital intestinal atresia[J].Journal of Clinical Pediatric Surgery,,21():490-493.[doi:10.3760/cma.j.cn101785-201912061-016]
Current status of surgical treatment of congenital intestinal atresia
- Abstract:
- Congenital intestinal atresia is a digestive tract malformation caused by multiple factors, and one of the common causes of neonatal intestinal obstruction, for which surgery is considered to be the only effec- tive way. The surgical repair is designed to restore the intestinal canal continuity and ensure the patency after intestinal anastomosis. This article classified congenital intestinal atresia according to the clinical manifesta- tions, diagnosis and location of atresia, and reviewed different surgical treatment.
References:
[1] Gupta S, Gupta R, Ghosh S, et al. Intestinal Atresia:Experience at a Busy Center of North-West India[J]. J Neonatal Surg,2016,5(4):51. DOI:10. 21699/jns. v5 i4. 405.
[2] Takahashi D, Hiroma T, Takamizawa S, et al. Population-based study of esophageal and small intestinal atresia/stenosis[J]. Ped- iatr Int,2014,56(6):838-844. DOI:10. 1111/ped. 12359.
[3] Piper HG, Alesbury J, Waterford SD, et al. Intestinal atresias:fac- tors affecting clinical outcomes[J]. J Pediatr Surg,2008,43(7):1244-1248. DOI:10. 1016/j. jpedsurg. 2007. 09. 053.
[4] Cairo S, Kakembo N, Kisa P, et al. Disparity in access and out- comes for emergency neonatal surgery:intestinal atresia in Kam- pala, Uganda[J]. Pediatr Surg Int,2017,33(8):907-915. DOI:10. 1007/s00383-017-4120-5.
[5] 郭卫红, 陈永卫, 侯大为, 等. 先天性肠闭锁病死率40年回顾性分析[J]. 中华小儿外科杂志,2011,32(6):434-437. DOI:10. 3760/cma. j. issn. 0253-3006. 2011. 06. 010. Guo WH, Chen YW, Hou DW, et al. Morbidity and mortality of congenital intestinal atresia:a review of 40 years[J]. Chin J Pedi- atr Surg, 2011, 32(6):434-437. DOI:10. 3760/cma. j. issn. 0253-3006. 2011. 06. 010.
[6] Subbarayan D. Histomorphological features of intestinal atresia and its clinical correlation[J]. J Clin Diagn Res, 2015, 332(11):462-464. DOI:10. 7860/JCDR/2015/13320. 6838.
[7] Bethell GS, Long AM, Knight M, et al. Congenital duodenal ob- struction in the United Kingdom-a population-based study[J]. Arch Dis Child Fetal Neonatal Ed, 2020, 105(2):178-183. DOI:10. 1136/archdischild -2019-317085.
[8] Furey EA, Bailey AA, Twickler DM. Fetal mr imaging of gastroin- testinal abnormalities[J]. Radiographics, 2016, 36(3):904-917. DOI:10. 1148/rg. 2016150109.
[9] 谭昱, 李成威, 吴松鑫, 等. 产前MRI诊断胎儿消化道闭锁[J]. 中国 医学 影像 技术, 2019, 35(3):85-88. DOI:10. 13929/j. 1003-3289. 201808033. Tan Y, Li CW, Wu SX, et al. Prenatal MRI in diagnosis of fetal digestive tract atresia[J]. Chinese Journal of Medical Imaging Technology,2019,35(3):85-88. DOI:10. 13929/j. 1003-3289. 201808033.
[10] Rubio EI, Blask AR, Badillo AT, et al. Prenatal magnetic reso- nance and ultrasonographic findings in small-bowel obstruction:imaging clues and postnatal outcomes[J]. Pediatr Radiol, 2017, 47(4):411. DOI:10. 1007/s00247-016-3770-0.
[11] Hao J, Zhang Y, Tianyu L, et al. Preliminary investigation of the diagnosis of neonatal congenital small bowel atresia by ultrasound[J]. Biomed Res Int, 2019, 2019:7097159. DOI:10. 1155/2019/7097159.
[12] Goruppi I, Arévalo S, Gander R, et al. Role of intraluminal bowel echogenicity on prenatal ultrasounds to determine the anatomical level of intestinal atresia[J]. J Matern Fetal Neonatal Med,2017, 30(1):103-108. DOI:10. 3109/14767058. 2016. 1163677.
[13] Virgone C, D’antonio F, Khalil A, et al. Accuracy of prenatal ultra- sound in detecting jejunal and ileal atresia:systematic review and meta-analysis[J]. Ultrasound Obstet Gynecol,2015,45(5):523-529. DOI:10. 1002/uog. 14651.
[14] Aboellail MA, Tanaka H, Mori N, et al. HDlive silhouette mode in antenatal diagnosis of jejunal atresia[J]. Ultrasound Obstet Gyne- col,2016,48(1):131-132. DOI:10. 1002/uog. 15737.
[15] Wessel LM, Fuchs J, Rolle U. The surgical correction of congenital deformities:the treatment of diaphragmatic hernia, esophageal atresia and small bowel atresia[J]. Dtsch Arztebl Int, 2015, 112(20):357-364. DOI:10. 3238/arztebl. 2015. 0357.
[16] Zhou JL, Fang YL, Tian S, et al. Radiological feature of colonic atresia[J]. Arch Dis Child Fetal Neonatal Ed, 2018, 103(3):F263. DOI:10. 1136/archdischild -2017-314482.
[17] Kimura K, Tsugawa C, Ogawa K, et al. Diamond-shaped anastomo- sis for congenital duodenal obstruction[J]. Arch Surg, 1977, 112(10):1262-1263. DOI:10. 1001/archsurg. 1977. 01370100116026.
[18] Kimura K, Mukohara N, Nishijima E, et al. Diamond-shaped anas- tomosis for duodenal atresia:An experience with 44 patients over 15 years[J]. J Pediatr Surg, 1990, 25(9):977-979. DOI:10. 1016/0022-3468(90) 90241-z.
[19] Weber TR, Lewis JE, Mooney D, et al. Duodenal atresia:A com- parison of techniques of repair[J]. J Pediatr Surg,1986,21(12):1133-1136. DOI:10. 1016/0022-3468(86) 90025-4.
[20] 马强, 马继东, 张晓伦, 等. 先天性肠闭锁、肠狭窄20年治疗回顾(附66例报告)[J]. 北京医学, 2004, 26(1):18-21. DOI:10. 3969/j. issn. 0253-9713. 2004. 01. 005. Ma Q, Ma JD, Zhang XL, et al. Congenital intestinal atresia and stenosis:a review of sixty-six cases[J]. J Med Beijing, 2004, 26(1):18-21. DOI:10. 3969/j. issn. 0253-9713. 2004. 01. 005.
[21] 朱小春, 俞钢, 徐本源. 十二指肠膜状闭锁与狭窄的早期诊断及治疗分析[J]. 临床小儿外科杂志, 2002, 1(2):135-136. DOI:10. 3969/j. issn. 1671-6353. 2002. 02. 018. Zhu XC, Yu G, Xu BY, et al. Early stage diagnosis and treatment of duodenal membranous atresic stenosis[J]. J Clin Ped Sur, 2002,1(2):135-136. DOI:10. 3969/j. issn. 1671-6353. 2002. 02. 018.
[22] Bax NM, Ure BM, Zee D, et al. Laparoscopic duodenoduodenosto- my for duodenal atresia[J]. Surg Endosc, 2001, 15(2):217. DOI:10. 1007/BF03036283.
[23] 李炳, 陈卫兵, 王寿青, 等. 腹腔镜在小儿先天性小肠闭锁和狭窄诊治中的应用[J]. 中华胃肠外科杂志, 2014, 17(8):816-819. DOI:10. 3760/cma. j. issn. 1671-0274. 2014. 08. 020. Li B, Chen WB, Wang SC, et al. Application of laparoscopy in the diagnosis and treatment of neonates and infants with congenital; intestinal atresia and stenosis[J]. Chinese Journal of Gastrointes- tinal Surgery,2014,17(8):816-819. DOI:10. 3760/cma. j. issn. 1671-0274. 2014. 08. 020.
[24] 张士松, 武玉睿, 刘红真, 等. 复杂型先天性肠闭锁患儿治疗体会[J]. 浙江大学学报(医学版), 2018, 47(3):255-260. DOI:10. 3785/j. issn. 1008-9292. 2018. 06. 06. Zhang SS, Wu YR, Liu HZ, et al. Experience in treatment of com- plex congenital intestinal atresia in children[J]. Journal of Zhe- jiang University (Medical Sciences), 2018, 47(3):255-260. DOI:10. 3785/j. issn. 1008-9292. 2018. 06. 06.
[25] Mentessidou A, Saxena AK. Laparoscopic repair of duodenal atre- sia:systematic review and meta-analysis[J]. World J Surg, 2017, 41(8):2178-2184. DOI:10. 1007/s00268-017-3937-3.
[26] Fabio CS, Valeria B, Luisa CM, et al. Duodenal atresia:open ver- sus mis repair-analysis of our experience over the last 12 years[J]. Biomed Res Int,2017,2017:4585360. DOI:10. 1155/2017/4585360.
[27] Sidler M, Djendov F, Curry JI, et al. Potential benefits of laparo- scopic repair of duodenal atresia:insights from a retrospective comparative study[J]. Eur J Pediatr Surg, 2019, 30(1):33-38. DOI:10. 1055/s -0039-1698766.
[28] 肖尚杰, 杨文熠, 朱小春, 等. 腹腔镜治疗54例新生儿先天性十二指肠梗阻的疗效分析[J]. 临床小儿外科杂志, 2019, 18(2):141-146. DOI:10. 3969/j. issn. 1671-6353. 2019. 02. 014. Xiao SJ, Yang WY, Zhu XC, et al. Analysis of laparoscopic diag- nosis and treatment for 54 neonates with congenital duodenal ob- struction[J]. J Clin Ped Sur, 2019, 18(2):141-146. DOI:10. 3969/j. issn. 1671-6353. 2019. 02. 014.
[29] Wang X, Yuan C, Xiang L, et al. The clinical significance of path- ological studies of congenital intestinal atresia[J]. J Pediatr Surg, 2013, 48(10):2084-2091. DOI:10. 1016/j. jpedsurg. 2013. 05. 025.
[30] Yang S, Wang M, Shen C. Bowel plication in neonatal high jeju- nal atresia[J]. Medicine,2019, 98(19):e15459. DOI:10. 1097/MD. 0000000000015459.
[31] Dewberry LC, Hilton SA, Vuille-Dit-Bille RN, et al. Is tapering enteroplasty an alternative to resection of dilated bowel in small intestinal atresia?[J]. J Surg Res, 2020, 246:1-5. DOI:10. 1016/j. jss. 2019. 08. 014.
[32] Kim HB, Fauza D, Garza J, et al. Serial transverse enteroplasty (STEP):a novel bowel lengthening procedure[J]. J Pediatr Surg,2003,38(3):425-429. DOI:10. 1053/jpsu. 2003. 50073.
[33] Ito Y, Asato K, Cho I, et al. Intestinal flow after anastomotic opera- tions in neonates[J]. Comput Biol Med,2020,118:103471. DOI:10. 1016/j. compbiomed. 2019. 103471.
[34] Patil VK, Kulkarni BK, Jiwane A, et al. Intestinal atresia:an end- to-end linear anastomotic technique[J]. Pediatr Surg Int,2001,17(8):661-663. DOI:10. 1007/s003830100019.
[35] Onofre LS, Maranh?o RF, Martins EC, et al. Apple-peel intestinal atresia:Enteroplasty for intestinal lengthening and primary anasto- mosis[J]. J Pediatr Surg,2013, 48(6):e5-e7. DOI:10. 1016/j. jpedsurg. 2013. 04. 024.
[36] Bing L, Chen WB, Wang SQ, et al. Laparoscopy-assisted surgery for neonatal intestinal atresia and stenosis:a report of 35 cases[J]. Pediatr Surg Int,2012,28(12):1225-1228. DOI:10. 1007/s00383-012-3216-1.
[37] Watts A, Sabharwal AMackinlay G, et al. Congenital colonic atre- sia:should primary anastomosis always be the goal?[J]. Pediatr Surg Int, 2003, 19(1-2):14-17. DOI:10. 1007/s00383-002-0895-z.
[38] Haxhija EQ, Schalamon J, H?llwarth ME. Management of isolated and associated colonic atresia[J]. Pediatr Surg Int,2011,27(4):411-416. DOI:10. 1007/s00383-010-2802-3.
[39] Dassinger M, Jackson R, Smith S. Management of colonic atresia with primary resection and anastomosis[J]. Pediatr Surg Int, 2009,25(7):579. DOI:10. 1007/s00383-009-2401-3.
[40] Saha H, Ghosh D, Ghosh T, et al. Demographic study and manage- ment of colonic atresia:single-center experience with review of lit- erature[J]. J Indian Assoc Pediatr Surg,2018,23(4):206-211. DOI:10. 4103/jiaps. JIAPS_219_17.
Memo
收稿日期:2019-12-28。
基金项目:国家自然科学基金项目（82171696）
通讯作者:吕志宝,Email:zhibaolyu@163.com