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Congenital colonic atresias.

G Menardi

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |February 1, 1987
    PubMed
    Summary

    Congenital colonic atresias are rare. Interference with mesenteric blood supply is a likely cause, and associated malformations are common. Advances in nutrition may reduce the 50% mortality rate.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Medical Genetics

    Background:

    • Congenital colonic atresia is a rare intestinal obstruction.
    • Previous studies have not extensively detailed associated malformations.

    Purpose of the Study:

    • To present cases of congenital colonic atresia.
    • To discuss the etiology, diagnosis, and management of this condition.
    • To highlight the incidence of associated malformations.

    Main Methods:

    • Retrospective review of 8 cases treated between 1968 and 1985.
    • Discussion of etiological factors, diagnostic procedures, and surgical management.

    Main Results:

    • A plausible etiology involves intrauterine mesenteric blood supply interference.
    • A high incidence of associated malformations was observed.
    • The study group experienced a 50% mortality rate.

    Conclusions:

    • Intrauterine mesenteric vascular accidents are a likely cause of congenital colonic atresia.
    • Associated malformations are more frequent than previously reported.
    • Improved total parenteral nutrition could potentially decrease mortality.

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