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Apple Peel Small Intestinal Atresia

Jejunal Atresia


Presentation

  • The most common associated conditions are cystic fibrosis, malrotation, and gastroschisis, all of which are present in about 10% of cases.[msdmanuals.com]
  • 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]
  • At birth these newborns present with features of intestinal obstruction. An X-ray of the abdomen usually shows dilated bowel with gas shadows up to the level of atresia.[jscisociety.com]
  • The defect in type IIIa atresias is similar to that in type II atresias, in that both types have blind proximal and distal ends; however, in type IIIa, no bridging fibrous cord is present, and a V-shaped mesenteric defect is present.[emedicine.medscape.com]
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Crying
  • The baby on examination had a poor general condition, poor cry and activity, had massive abdominal distention, [Figure 1] and sluggish bowel sounds.[jscisociety.com]
  • […] include: Vomit containing bile (a greenish fluid) Abdominal distention Swelling in the upper, middle abdomen Constipation Failure to pass meconium (first stools) by the child, in the first 24 hours after birth Poor feeding Poor general health; weak cry[dovemed.com]
Turkish
Splenectomy
  • Hone and expand your surgical skills by watching videos of minimally invasive procedures for recto urethral fistula, biliary atresia, laparoscopic splenectomy, uterine horn, and more.[books.google.com]
Stroke
  • Take advantage of a wealth of images that capture the clinical manifestations and findings associated with Kawasaki disease, lupus, lymphoma, stroke, and many other disorders seen in children.[books.google.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]
Enlargement of the Spleen
  • This checks for an enlarged liver and spleen. Ultrasound : High-frequency sound waves show detailed images of her organs. Liver scans: Special X-rays use chemicals to create an image of her liver and bile ducts.[webmd.com]
Polyps
  • 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]

Treatment

  • In patients with anastomotic dysfunction, conservative treatment of the obstruction followed after its resolution by gradually increased NG feeds, was the preferred treatment protocol.[jiaps.com]
  • 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]
  • Based on this experience, it appears that a Santulli jejunojejunostomy combined with total parenteral nutrition offers the most promising operative strategy in the treatment of patients with apple peel bowel.[ncbi.nlm.nih.gov]
  • 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

  • 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]
  • 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]
  • This classification generally guides prognosis and therapy (see the image below). Classification of jejunoileal atresias.[emedicine.medscape.com]
  • The prognosis is usually not good, except in a few cases. Newborns surviving surgery and complications do well, as in our case.[jscisociety.com]

Etiology

  • 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]
  • The etiology of intestinal atresia is mainly from abnormal morphogenesis; mainly, from an intra-uterine vascular insult.[wajradiology.org]
  • Therefore, the most likely etiology for duodenal atresia is failure of luminal recanalization after the cord stage.[accesssurgery.mhmedical.com]
  • Etiology and treatment of small intestinal atresia: Analysis of series of 127 Jejunoileal atresias and comparison with 62 duodenal atresia surgery. Surgery 1971;69:41-51. [ PUBMED ] 5.[jscisociety.com]
  • (Etiology) Jejunal Atresia is caused by the partial or complete absence of a membrane known as the mesentery. The mesentery membrane is responsible for attaching a portion of the small intestine called the jejunum, to the abdominal wall.[dovemed.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]
  • […] 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]
  • Patients with intestinal atresia are epidemiologically characterized by young gestational age and low birth weight.[emedicine.medscape.com]
  • 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]
  • Insights from a population-based epidemiological study and implications in surgical management. Ann Surg 253:223–230 PubMed CrossRef Google Scholar Yousefzadeh DK (1983) Tubular colonic duplication: review of 1876–1981 literature.[link.springer.com]
Sex distribution
Age distribution

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]
  • 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]
  • Aspirot A, Faure C: Esophageal dysmotility: characterization and pathophysiology. Dis Esophagus 2013; 26: 405–9 CrossRef MEDLINE e80.[aerzteblatt.de]

Prevention

  • 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]
  • Symptoms - Atresia of small intestine Causes - Atresia of small intestine Prevention - Atresia of small intestine Not supplied.[checkorphan.org]
  • 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]

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