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Prognostic factors in jejuno-ileal atresia

Sathyaprasad C Burjonrappa1, Elise Crete, Sarah Bouchard

  • 1Department of Pediatric Surgery, New York Medical College, Valhalla, NY, USA. sathyabc@yahoo.com

Pediatric Surgery International
|August 4, 2009
PubMed

Insights

Jejuno-ileal atresias (JIA) outcomes are good for mild cases, but severe JIA and associated anomalies increase mortality risk. Reintervention for adhesions is common in the first year.

Area of Science:

  • Pediatric Surgery
  • Neonatal Care
  • Gastrointestinal Surgery

Background:

  • Jejuno-ileal atresias (JIA) are congenital obstructions of the small intestine.
  • Outcomes and prognostic factors for JIA require further investigation.

Purpose of the Study:

  • To investigate morbidity and mortality in jejuno-ileal atresias (JIA).
  • To identify prognostic factors influencing JIA patient outcomes.
  • To determine the incidence of reintervention in JIA patients.

Main Methods:

  • Retrospective review of 63 patients diagnosed with JIA.
  • Data collected over a 30-year period (1975-2005).

Main Results:

  • 52% of JIA patients had associated anomalies.
  • Seven deaths occurred, with associated anomalies and severe atresia types (IV/V) being significant factors (P = 0.017 and P = 0.007, respectively).
  • Nine patients required reoperations for adhesions within the first year.

Conclusions:

  • Mild JIA cases demonstrate excellent prognosis and long-term survival.
  • Severe JIA is linked to prolonged parenteral nutrition and secondary procedures for intestinal failure.
  • Associated anomalies negatively impact outcomes in jejuno-ileal atresias.
Abstract

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