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[Late complications after surgery for high congenital intestinal obstruction in children]
Insights
Late-term complications after surgery for high congenital ileus are challenging. Certain gastroentero-anastomoses, particularly for annular pancreas, are not advisable due to treatment difficulty.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Congenital Abnormalities
Background:
- High congenital ileus necessitates surgical intervention.
- Late-term complications can significantly impact patient outcomes.
- Understanding these complications is crucial for improving surgical strategies.
Purpose of the Study:
- To analyze the experience with late-term complications following surgery for high congenital ileus.
- To identify patterns and challenges in managing these complications.
- To evaluate the effectiveness of different treatment approaches.
Main Methods:
- Retrospective analysis of 31 patients with late-term complications.
- Classification of complications into five groups based on etiology.
- Review of clinical manifestations and repeated surgical interventions.
Main Results:
- Complications varied in character and anatomical cause.
- Specific procedures, such as gastroentero-anastomoses for annular pancreas, presented significant treatment challenges.
- Membranous atresia of the duodenum also led to difficult-to-manage complications.
Conclusions:
- Late-term complications after high congenital ileus surgery require careful management.
- Certain surgical techniques, especially those involving gastroentero-anastomoses for specific conditions, should be approached with caution.
- The findings suggest reconsidering the advisability of certain primary operative procedures.
Abstract:
The work analyses the experience in examination and treatment of 31 patients with late-term complications after operations for various types of acute and chronic high congenital ileus. Five groups of children were set apart according to the character and anatomical cause of the complication. The characteristics of late-term complications, their clinical manifestations, and methods of repeated surgical interventions are given. The most difficult for treatment were complications which had developed after creation during the primary operation of gastroentero-anastomoses for an annular pancreas (5 patients) and membranous atresia of the duodenum (one patient). It is concluded that the performance of this operation is not advisable.