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Updated: Jun 4, 2026
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Management of isolated and associated colonic atresia
Emir Q Haxhija1, Johannes Schalamon, Michael E Höllwarth
1Department of Pediatric and Adolescent Surgery, Medical University Graz, Graz, Austria. emir.haxhija@medunigraz.at
Insights
Neonatal colonic atresia is rare. Isolated cases have excellent outcomes, but when associated with gastroschisis, it presents a significant clinical challenge requiring complex management.
Area of Science:
- Pediatric surgery
- Neonatal care
- Gastrointestinal surgery
Background:
- Colonic atresia is a rare congenital condition causing intestinal obstruction in newborns.
- Understanding its management and outcomes is crucial for improving infant survival and quality of life.
Purpose of the Study:
- To review the management and outcomes of neonates treated for colonic atresia over a 30-year period.
- To compare outcomes between isolated colonic atresia and cases associated with other anomalies.
Main Methods:
- Retrospective analysis of medical records of 14 newborns treated for colonic atresia.
- Classification of patients into two groups: isolated colonic atresia and associated anomalies (intestinal atresias or gastroschisis).
Main Results:
- Seven infants had isolated colonic atresia (Group 1) and seven had associated conditions (Group 2).
- Group 2 infants had significantly lower gestational age and birth weight.
- No mortality in Group 1, while three deaths occurred in Group 2.
Conclusions:
- Isolated colonic atresia is associated with a short hospital stay and excellent outcomes.
- Colonic atresia associated with gastroschisis poses a serious clinical challenge with higher mortality.
Purpose:
Colonic atresia is a rare cause of congenital intestinal obstruction in the neonate. A review of the management and outcome of children with colonic atresia was performed.
Methods:
A retrospective analysis of the complete records of children treated for colonic atresia during the 30-year period.
Results:
A total of 14 newborns were treated. Seven infants suffered from an isolated colonic atresia (group 1). In the other seven infants (group 2), colonic atresia was either associated with additional intestinal atresias (n = 2), or gastroschisis (n = 5). Gestational age and birth weight were significantly lower in infants from group 2 compared to group 1 (40 ± 0.5 vs. 37 ± 1 weeks (P < 0.05); and 3,478 ± 208 vs. 2,626 ± 242 g (P < 0.01), respectively). The first surgical procedure was performed in all newborns within 24 h after birth. All but one infant from group 1 received primary colostomies at the level of colonic atresia, followed by end-to-side anastomoses. All but one infant from group 2 needed ileocoecal resection due to bowel necrosis. No child died in group 1, whereas three children died in group 2.
Conclusions:
Isolated colonic atresia is amenable with a short hospital stay and an excellent outcome. In contrast, infants with colonic atresia associated with gastroschisis present a serious clinical challenge.
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