Intestinal plication in the treatment of atresia

Area of Science:

• Pediatric Surgery
• Gastrointestinal Surgery
• Neonatal Care

Background:

• Jejunal atresia is a congenital obstruction of the small intestine.
• Traditional management often involves resection or tapering of the dilated proximal bowel.

Purpose of the Study:

• To evaluate the efficacy of plication of the dilated proximal bowel with end-to-oblique anastomosis for jejunal atresia.
• To compare this technique with traditional methods regarding functional outcomes and preservation of absorptive surface.

Main Methods:

• Twelve infants diagnosed with jejunal atresia underwent surgical management.
• The surgical technique involved plication of the dilated proximal jejunum and an end-to-oblique anastomosis.

Main Results:

• The plication technique proved simple and highly effective in preventing functional obstruction.
• This method successfully preserved the mucosal absorptive surface of the dilated bowel.
• Compared to resection or tapering, this technique appeared to facilitate an earlier return of bowel function.

Conclusions:

• Plication of the dilated proximal bowel with end-to-oblique anastomosis is a safe and effective surgical option for jejunal atresia.
• This technique offers advantages over traditional methods by preserving absorptive capacity and promoting faster functional recovery.