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Jejunal atresia with 'apple peel' deformity. A report of eight survivors
C Manning1, A Strauss, M T Gyepes
1Department of Diagnostic Ultrasound, Memorial Hospital Medical Center, Long Beach, California 90801.
Insights
Apple peel atresia, a severe form of jejunal atresia, previously had high neonatal mortality. Modern diagnosis, surgery, and nutrition dramatically improved survival rates, with all eight reported patients surviving.
Area of Science:
- Pediatric Surgery
- Neonatalogy
- Gastroenterology
Background:
- Apple peel atresia is a severe congenital anomaly of the jejunum.
- Historically, this condition was associated with high neonatal mortality rates.
Purpose of the Study:
- To report outcomes of eight patients with apple peel atresia.
- To discuss the pathophysiology, diagnosis, surgical management, and postoperative care of this condition.
Main Methods:
- Retrospective case series analysis.
- Review of diagnostic imaging, surgical procedures, and patient outcomes.
- Discussion of pathophysiology and management strategies.
Main Results:
- All eight patients diagnosed with apple peel atresia survived.
- Significant improvement in survival rates attributed to advancements in care.
- Successful surgical repair and postoperative management achieved.
Conclusions:
- Early diagnosis and prompt surgical intervention are critical for survival.
- Prolonged parenteral nutrition plays a vital role in postoperative recovery.
- Modern medical and surgical approaches have drastically improved outcomes for apple peel atresia.
Abstract:
Jejunal atresia with an "apple peel" deformity is one of the most severe forms of intestinal atresia. Until quite recently, neonatal mortality rates as a result of this anomaly were high. Early diagnosis, appropriate surgery, and prolonged parenteral nutrition have led to a spectacular improvement of the survival rates. We are reporting eight cases of apple peel atresia--all eight patients survived. The pathophysiology, diagnostic aspects, surgical approaches, and postoperative management are discussed.