Cao Jianying,Liu Gang,Han Jinbao,et al.Mesenteric fixation and preserved bowel for high jejunal atresia with type Ⅲb intestinal atresia[J].Journal of Clinical Pediatric Surgery,,22():827-831.[doi:10.3760/cma.j.cn101785-202303062-006]
Mesenteric fixation and preserved bowel for high jejunal atresia with type Ⅲb intestinal atresia
- Keywords:
- Intestinal Atresia; Surgical Procedures; Operative; Child; Therapy
- Abstract:
- Objective To explore the feasibility of mesenteriopexy with end-to-side anastomosis for high jejunal atresia with type Ⅲb intestinal atresia with long-segment or whole intestinal apple-peel appearance.Methods From October 2017 to January 2022,retrospective analysis was performed for 7 children of high jejunal atresia with type Ⅲb intestinal atresia with long-segment or whole intestinal apple-peel appearance.The follow-up outcomes were summarized.Results Among them,there were enterocolon apple-peel atresia (n=2) and whole intestinal apple-peel atresia (n=5).Distal mesangial defect was fixed to dilated proximal jejunum.End-to-side anastomosis was performed after pruning occluded distal bowel and dilated proximal bowel.A jejunal nutrition tube was placed.Except for one death,the remainders survived.At Day 3-5 post-operation,enteral nutrition was pumped through a jejunal nutrition tube.Oral feeding resumed gradually after total enteral nutrition.During a follow-up period of (1-5) years,there were no such postoperative complications as intestinal obstruction,malnutrition or chronic diarrhea.All of them reached the standard height and weight of children of the same age.Conclusion For high jejunal atresia with type Ⅲb intestinal atresia with long-segment apple-peel bowel long-segment apple-peel high jejunal atresia in children,mesenteriopexy around blind-end is indicated for tube preservation.
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Memo
收稿日期:2023-3-28。
基金项目:军队计生专项(21JSZ18)
通讯作者:黄柳明,Email:surhlm@126.com