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Related Experiment Videos

Apple peel jejunal atresia.

L S Ahlgren

    Journal of Pediatric Surgery
    |May 1, 1987
    PubMed
    Summary

    Apple peel bowel, a severe jejunal atresia variant, has high mortality. A modified Santulli "chimney" anastomosis technique improved survival in three consecutive patients, offering a promising treatment strategy.

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    Area of Science:

    • Pediatric Surgery
    • Gastrointestinal Surgery
    • Neonatal Care

    Background:

    • Apple peel deformity is a rare jejunal atresia variant with significant mortality.
    • Complications include anastomotic leaks, sepsis, and prolonged ileus leading to malnutrition.

    Purpose of the Study:

    • To report the successful application of an adapted Santulli "chimney" anastomosis in treating apple peel bowel.
    • To evaluate the efficacy of this surgical technique in improving patient survival and outcomes.

    Main Methods:

    • Three consecutive patients with apple peel deformity underwent surgery using an adapted Santulli "chimney" anastomosis.
    • This technique focuses on relieving obstruction, minimizing resection, and preserving mesenteric blood supply.
    • Total parenteral nutrition was utilized postoperatively.

    Main Results:

    • All three patients survived the procedure with a benign postoperative course.
    • Uneventful recovery was observed in all cases.
    • Normal intestinal function was restored and maintained at 1.5 years post-surgery.

    Conclusions:

    • The adapted Santulli jejunojejunostomy, combined with total parenteral nutrition, presents a highly promising surgical strategy for apple peel bowel.
    • This technique effectively addresses the challenges of intestinal obstruction and preserves vital structures, leading to improved survival rates.

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