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Jejunoileal atresia in neonates
W T Chang1, H C Chen, H C Peng
1Department of Surgery, Taichung Veterans General Hospital, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|July 1, 1995
Summary
Jejunoileal atresia is a common cause of neonatal intestinal obstruction. Low birth weight and anastomotic leakage prolong hospital stays, while sepsis is the main cause of mortality.
Area of Science:
- Neonatal Surgery
- Pediatric Gastroenterology
- Intestinal Atresia Research
Background:
- Jejunoileal atresia is the most frequent cause of intestinal obstruction in newborns.
- Prognosis is influenced by several critical factors.
- This study evaluated factors impacting patient outcomes.
Purpose of the Study:
- To identify factors influencing the prognosis of jejunoileal atresia.
- To analyze complications and survival rates in affected neonates.
- To determine predictors of prolonged hospital stays and mortality.
Main Methods:
- Retrospective analysis of 24 jejunoileal atresia patients treated between 1982 and 1992.
- Evaluation of factors including prematurity, low birth weight, and anastomotic leakage.
- Statistical analysis using the Mann-Whitney U-test to assess prognostic factors.
Main Results:
- A survival rate of 87.5% was observed, with 3 mortalities attributed to sepsis.
- Low birth weight and anastomotic leakage were significantly associated with prolonged hospital stays (p < 0.05).
- Common complications included anastomotic leakage, wound infections, and intestinal obstructions.
Conclusions:
- Jejunoileal atresia is a common neonatal surgical condition with a generally good prognosis.
- Factors like low birth weight and anastomotic leakage can lead to extended hospital stays.
- Sepsis remains the primary determinant of mortality in these patients.