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[T-shaped anastomosis in treating acute intestinal obstruction in newborn infants]
Insights
Newborns with digestive tract defects causing ileus can benefit from T-shaped bypass anastomosis. This surgical technique unloads the intestine and facilitates feeding, improving outcomes for infant intestinal obstruction.
Area of Science:
- Pediatric Surgery
- Neonatal Gastroenterology
- Developmental Biology
Abstract:
Newborns with the ileus caused by developmental defects of the digestive tract have, as a rule, suprastenotic dilatations of all the intestine or a considerable part of it higher than the ileus zone and a great difference in the width of the lumen of the intestine portions left after resection of the injured area. In the Center of Developmental Defects of Newborns 190 patients with ileus have been treated for the recent 10 years. In 37 cases T-shaped bypass anastomosis was used which has considerable advantages over "dead" anastomosis. T-shaped ileostomy allows unloading the dilated adducting part of the intestine overfilled with the contents in early terms after operation and simultaneously fulfilling "the feeding" into the abducting part of the intestine.