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2.1
Apple Peel Small Intestinal Atresia
Jejunal Atresia

Presentation

Hence, we present a case of a 2-day-old infant with additional features of extensive micro colon. Case Report A 2-day-old boy presented with progressive abdominal distension, bilious vomiting and no passage of meconium since birth. [wajradiology.org]

The average interval between presentation to neonatologists and presentation to the surgeons were 4.5 days for JIA and 2.1 days for DA. [njcponline.com]

We present a case report of an adolescent presenting with clinical features of proximal small-bowel obstruction (confirmed on imaging) as well as acute pancreatitis. [sajr.org.za]

CASE PRESENTATION: We present here a 29 week preterm boy admitted to the intensive care unit due to breathing difficulties and low birthweight... [readbyqxmd.com]

Distal ileal atresia may present after 24-48 hours. An abdominal radiograph is important in the diagnosis of these conditions. In duodenal atresia, a double bubble is typically present. [clinicaladvisor.com]

Entire Body System

  • Trisomy 21

    It is associated with trisomy 21 and congenital heart disease. Jejunal and Ileal Atresia These conditions are often classified according to four types. [clinicaladvisor.com]

    21 Best Second Trimester Sonographic Markers for the Detection of Trisomy 21 Patrizia Vergani, MD, Anna Locatelli, MD, Maria Giovanna Piccoli, MD, Patrizia Ceruti, MD, Eloisa Mariani, MD, John C. [docplayer.net]

    21 in approximately 30% cases. [2] On the other hand, jejunoileal atresia occurs in approximately 1 in 5,000 live births with equal incidence in males and females. [mamcjms.in]

    Chromosomal abnormalities (mainly trisomy 18 or 21) are found in about 20% of fetuses. Other major defects, mainly cardiac, are found in about 50% of the cases. [sonoworld.com]

    Thirty percent of congenital duodenal obstruction patients are trisomy 21. The accepted hypothesis of duodenal atresia is due to failure of recanalization of the duodenum. [saudisurgj.org]

  • Surgical Procedure

    Once the child is stabilized, a surgical procedure is performed to bypass the obstruction. We performed the duodenojejunostomy anastomosis for the first sister and duodenoduodenostomy for the second sister. [saudisurgj.org]

    A single end-to-oblique anastomosis after adequate resection of dilated proximal bowel, was the preferred surgical procedure. In the absence of facilities for administering TPN, early oral/nasogastric (NG) tube feeding was encouraged. [jiaps.com]

    Parker C, Wilson MS, Menzies D, et al: The SCAR-3 study: 5-year adhesionrelated readmission risk following lower abdominal surgical procedures. Colorectal Dis 2005, 7:551–558. 7. [slideheaven.com]

Gastrointestinal

  • Intestinal Atresia

    Intestinal atresia and stenosis: Analysis of survival in 120 cases. Surgery 1985;98:668-76. 7. Bernstein J, Vawter G, Harris GBC, Young V, Hillman LS. The occurrence of intestinal atresia in a newborn with meconium ileus. [journals.lww.com]

    […] of intestinal atresia by Forrester Merz, [3] small intestinal atresia or stenosis rates were 2.9 per 10,000 live births. [wajradiology.org]

    Discussion Intestinal atresia is one of the major causes of neonatal intestinal obstruction. Jejunal atresia with an apple peel deformity is one of the rare and most severe forms of intestinal atresia. [jscisociety.com]

    Congenital intestinal atresia; observations on its origin. Lancet 1955;269:1065-7. 6. Santulli TV, Blanc WA. Congenital atresia of the intestine: Pathogenesis and treatment. Ann Surg 1961;154:939-48. 7. Gahukamble DB, Adnan AR, Al Gadi M. [mamcjms.in]

    Patients may have intestinal atresia in multiple locations. [1] Duodenal atresia – malformation of the duodenum, part of the intestine that empties from the stomach, and first section of the small intestine Jejunal atresia – malformation of the jejunum [en.wikipedia.org]

  • Failure to Thrive

    The clinical presentation is dependent on the severity of disease, and these patients have a history of intermittent emesis and failure to thrive. An upper GI series with small-bowel follow-through is indicated in these patients. [emedicine.medscape.com]

    Other complications of the disease are failure to thrive, slow feeding, esophageal stenosis, recurrent aspiration pneumonia, reactive airway disease, severe gastroesophageal reflux, coughing and choking (2). [hawaii.edu]

    J Pediatr Surg 1986;21:798-801. [ PUBMED ] [Figure 1], [Figure 2] [Table 1] This article has been cited by 1 Jejunal atresia causing failure to thrive: The role of camera mobile phones in aiding diagnosis in limited resource settings Paddy Ssentongo,Xavier [njcponline.com]

Cardiovascular

  • Heart Disease

    It is associated with trisomy 21 and congenital heart disease. Jejunal and Ileal Atresia These conditions are often classified according to four types. [clinicaladvisor.com]

    Congenital heart disease and trisomy 21 are the most common associated conditions, each occurring in about 30% of cases. [29] All three conditions may coexist in the same patient. [30] Among patients with trisomy 21 who underwent prenatal ultrasonography [thehealthscience.com]

    Congenital heart disease and fetal thoracoabdominal anomalies: associations in utero and the importance of cytogenetic analysis. Am J Perinatol. 1991 Nov. 8 (6):411-6. [Medline]. Nyberg DA, Resta RG, Luthy DA, Hickok DE, Mahony BS, Hirsch JH. [emedicine.medscape.com]

    Other conditions are associated with duodenal atresia: Down syndrome, malrotation, esophageal atresia, annular pancreas, renal anomalies, congenital heart disease and imperforate anus. [hawaii.edu]

    Most cases are sporadic, although a few cases are genetic, such as the autosomal recessive McKusick–Kaufman syndrome with hydrometrocolpos, polydactyly and congenital heart disease. [sonoworld.com]

  • Hypotension

    Bradycardia, hypothermia, apneic spells and hypotension are later signs of progressive deterioration. Abnormal hemorrhage, hyperbilirubinemia and oliguria are late findings. [aafp.org]

Urogenital

  • Cesarean Section

    He was born via cesarean section at term. On physical exam, his pulse is 140, blood pressure is 80/50 mmHg, and respirations are 40/min. His abdomen appears distended and appears diffusely tender to palpation. [medbullets.com]

    Majority were delivered vaginally as opposed to Wax et al. [14] where 60% of the deliveries were by cesarean section. [njcponline.com]

Workup

Make a comprehensive diagnostic workup with data from ancillary techniques and molecular findings whenever appropriate. Effectively grasp complex topics and streamline decision- making by using extensive tables, graphs, and flowcharts. [books.google.it]

Treatment

Review the latest developments in the field and get up-to-date clinical information on hot topics like polyps, capsule endoscopy, and pancreatic treatments. [books.google.com]

(Outcomes/Resolutions) The prognosis of Jejunal Atresia is determined by early diagnosis and timely and appropriate treatment. [dovemed.com]

I was very skeptical of Naturopathic medicine at Yeast Infection Throat Pictures Treatment Male first because I didn’t. [quality2014.eu]

Treatment Treatment Options: No effective general treatment has been reported. [disorders.eyes.arizona.edu]

Treatment The most common treatment is the Kasai procedure. It's done if the blocked bile ducts are outside the baby 's liver. During the operation, your baby 's surgeon will replace the blocked bile ducts with part of her intestine. [webmd.com]

Prognosis

What is the Prognosis of Jejunal Atresia? (Outcomes/Resolutions) The prognosis of Jejunal Atresia is determined by early diagnosis and timely and appropriate treatment. [dovemed.com]

In our case, in spite of the mild phenotype, prognosis has been complicated by the onset of functional bowel obstruction, caused by chemical peritonitis resulting from contact with either amniotic fluid and meconium. [unipa.pure.elsevier.com]

Prognosis Survival is primarily dependent on gestation at delivery and the presence of other anomalies. [sonoworld.com]

Diagnosis - Atresia of small intestine Prognosis - Atresia of small intestine The long-term outlook (prognosis) for people with intestinal atresia is usually good, and in general, children do well post-operatively. [checkorphan.org]

The prognosis for infants with jejunoileal atresia is very good with > 90% survival. Prognosis is based on the length of remaining small bowel and the presence of the ileocecal valve. [msdmanuals.com]

Etiology

Therefore, the most likely etiology for duodenal atresia is failure of luminal recanalization after the cord stage. [accesssurgery.mhmedical.com]

Etiology Duodenal atresia is a sporadic abnormality, although, in some cases, there is an autosomal recessive pattern of inheritance. [sonoworld.com]

Etiology Multiple theories regarding the etiology of jejunoileal atresia have been studied in many animal models (eg, puppies, ewes, rabbits, and chick embryos). [22, 23, 24, 25, 26] Murine studies suggest that some forms of atresia may be hereditary [emedicine.medscape.com]

Mesenteric defects as a cause of intestinal volvulus without malrotation and as the possible primary etiology of intestinal atresia. J Pediatr Surg 1994;29:1339-1343. 3. Zwiren GT, Andrews HG, Ahmann P. [sajr.org.za]

Definition / general Atresia: imperforate mucosal diaphragm or string-like segment of bowel Stenosis: narrowing of lumen; less common Complications: perforation, meconium peritonitis, brown bowel syndrome Etiology Developmental failure, intrauterine vascular [pathologyoutlines.com]

Epidemiology

Epidemiology of small intestinal atresia in Europe: A register-based study 10.1136/fetalneonatal-2011-300631 Background The epidemiology of congenital small intestinal atresia (SIA) has not been well studied. [scinapse.io]

Epidemiology [ edit ] The most common form of intestinal atresia is duodenal atresia. It has a strong association with Down syndrome. [9] The second most common type is ileal atresia. [en.wikipedia.org]

[…] neonatal intestinal obstruction in developed countries and ranks the fourth most common cause of neonatal intestinal obstruction in Zaria, Northern Nigeria after anorectal malformation, Hirschprung disease and strangulated inguinal hernia. [2] In an epidemiologic [wajradiology.org]

Epidemiology. vol. 14. 2003. pp. 349 Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. [clinicaladvisor.com]

Patients with intestinal atresia are epidemiologically characterized by young gestational age and low birth weight. [emedicine.medscape.com]

Pathophysiology

Pediatr Surg Int 25:795–798 PubMed CrossRef Google Scholar Carlyle BE, Borowitz DS, Glick PL (2012) A review of pathophysiology and management of fetuses and neonates with meconium ileus for the pediatric surgeon. [link.springer.com]

Sleisenger & Fordtran's Gastrointestinal and Liver Disease Pathophysiology / Diagnosis / Management, sixth edition. 1998, Philadelphia: W. B. Saunders Company, pp. 1423-1431. 4. Wyllie R. Chapter 330 - Intestinal Atresia, Stenosis, and Malrotation. [hawaii.edu]

Comparative outcomes in intestinal atresia: A clinical outcome and pathophysiology analysis. Pediatr Surg Int 2011;27:437-42. 10. Rescorla FJ, Grosfeld JL. Intestinal atresia and stenosis: Analysis of survival in 120 cases. [njcponline.com]

Pathophysiology The pathophysiology of dudoenal stenosis and atresia differs from that of obstructions located more distally in the jejunoileal area; the importance of this difference cannot be overstated. [emedicine.medscape.com]

Another report of different intestinal atresias in identical twins proposes them to be either the consequence of linkage of two genes or a pleiotropic expression of a single gene. [35] Pathophysiology As stated above, the patophysiology of dudoenal stenosis [thehealthscience.com]

Prevention

About this book Introduction Nutrition in Infancy: Volume 2 is a very useful resource for all clinicians treating and preventing nutritional problems in infants. [link.springer.com]

Succinct, targeted coverage of normal childhood growth and development, as well as the diagnosis, management, and prevention of common pediatric diseases and disorders, make this an ideal medical reference book for students, pediatric residents, nurse [books.google.com]

Prevention We do need to prevent ASBO (LOE 2b GoR B). [slideheaven.com]

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2.1
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