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Abstract
Pathological findings and rarity of anomalies in other systems support an origin of
jejunoileal atresia in a late fetal accident to the bowel; incarceration of the physiological
umbilical hernia may be a common cause. This contrasts with duodenal atresias which
probably arise earlier and have many serious associated anomalies.
In jejunoileal atresia, the prognosis improves with more distal atresias. “Treatment”
grouping as well as “risk” grouping is offered.
Elective resection of proximal bowel has improved results, but anastomotic problems
continue in the smaller babies and an alternative technique should be sought.
Blind pouch formation with a stasis syndrome has occurred after oblique end-to-end
anastomosis.
Familial incidence of the distinct “apple peel” group of atresias is noted.
The value of the ileocecal valve is discussed, and a healthy survival with only 22
cm. of jejunum and no ileocecal valve is reported.
Duodenal atresia results have improved with gastrostomy decompression and trans-anastomotic
feeding. Associated anomalies and extremely low birth weight are the main problems
in treatment, not anastomotic technique.
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Article info
Publication history
Accepted:
May 1,
1970
Identification
Copyright
© 1971 Published by Elsevier Inc.
