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[Intestinal atresia].

J A Olvera Durán, R Peniche García

    Boletin Medico Del Hospital Infantil De Mexico
    |May 1, 1978
    PubMed
    Summary

    This study reviewed 20 intestinal atresia cases, finding that associated malformations, low birth weight, and surgical techniques did not significantly impact patient prognosis. Improved surgical outcomes reflect advancements in treating this congenital condition.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Congenital Malformations

    Context:

    • Intestinal atresia presents a significant challenge in pediatric surgery.
    • Historical mortality rates for intestinal atresia were high, exceeding 80% before 1940.
    • Recent literature indicates a reduced mortality rate of 10-25% for this condition.

    Purpose:

    • To review the experience with 20 cases of intestinal atresia (jejunum, ileum, and colon).
    • To analyze the impact of associated malformations, patient weight, and surgical techniques on prognosis.
    • To compare outcomes with international and national historical data.

    Summary:

    • The study analyzed 20 intestinal atresia cases (1972-1977), including jejunum, ileum, and colon.
    • Twelve patients weighed over 2,500g, and eight weighed under 2,500g; four had associated malformations.
    • Nineteen patients underwent surgical resection and anastomosis, with four deaths; prognosis was not significantly influenced by weight or associated anomalies.

    Impact:

    • This study contributes to understanding the prognosis of intestinal atresia in a specific patient cohort.
    • Findings suggest that despite small sample size, factors like associated malformations and weight may not be as critical as previously thought.
    • Highlights the need for continued research into optimal surgical management and prognostic indicators for intestinal atresia.

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