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2005, Number 3

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Rev Mex Cir Pediatr 2005; 12 (3)

Intestinal Atresia

Jiménez y Felipe JH

Language: Spanish
References: 29
Page: 127-135
PDF size: 490.74 Kb.


ABSTRACT

Introduction: Intestinal Atresia is the main cause of obstruction in the digestive tract in new-born. Prenatal ultrasonography makes possible an early diagnosis and treatment with better survival.
Objective: Study of new-born with diagnosis of AI, reviewing the intestinal lengthening procedures.
Material and methods: A retrospective analysis of the pediatrics charts with principal diagnosis of IA in a period of 27 years. The variables included: age, sex, family background, clinical signs, diagnosis, treatment, and mortality.
Results: Mean age was 4 days, without sex predominance; all patients had showed vomit presence of abdominal distention and they did not pass stools. The diagnosis was integrated with plain “X” rays of abdomen and in some cases we used medium contrast; with surgical treatment was possible the reconstruction of the intestinal tract. The mortality found 30.15%.
Discussion: We enhanced the utility to make an early diagnosis, with the proper correlation of the clinical and radiological signs (95%). It reviewed some prenatal aspects that permits the surgical procedure in the first 24 hs of new-born. It is also analyzed, some techniques of intestinal anastomosis, the diamond type and its lengthening.
Conclusions: IA of ileon was the most frequent type. Duodenal Atresia had associated the most serious malformations. Esophageal atresia was associated in the 3.17%. Prenatal control with ultrasonography improves the prognosis.


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