The role of preserved bowel and mesentery fixation in apple-peel intestinal atresia
Abstract Objective This study explored the feasibility of mesoplasty with end-to-side anastomosis in the treatment of different apple-peel mesenteric defects with high jejunal atresia. Methods A retrospective analysis was performed on 42 premature infants admitted to the hospital between 2014 and 20...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-07-01
|
| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12887-022-03475-z |
| _version_ | 1818474052053893120 |
|---|---|
| author | Jinbao Han Zenghui Hao Long Wang Ting Yao Wei Fan Zheng Zhao Liuming Huang Zhilin Xu |
| author_facet | Jinbao Han Zenghui Hao Long Wang Ting Yao Wei Fan Zheng Zhao Liuming Huang Zhilin Xu |
| author_sort | Jinbao Han |
| collection | DOAJ |
| description | Abstract Objective This study explored the feasibility of mesoplasty with end-to-side anastomosis in the treatment of different apple-peel mesenteric defects with high jejunal atresia. Methods A retrospective analysis was performed on 42 premature infants admitted to the hospital between 2014 and 2021. Prenatal ultrasound scans revealed bowel dilatation. The patients experienced vomiting after birth and produced white or no meconium. Plain radiography showed double or triple bubble signs and the patients underwent emergency laparotomy. High jejunal atresia with different apple-peel atresia appearance was discovered intraoperatively, involving mobilization of the ileocecal region. Patients received end-to-side anastomosis between the enlarged blind pouch and atretic bowel, as well as mesoplasty. A jejunal feeding tube was placed trans-nasally. Patients were discharged after achieving full enteral feeding. We also reviewed the literature on the subject. Results Three patients died and 39 survived. The discharged patients were followed up for 12 months, and none showed post-operative complications such as intestinal obstruction, malnutrition, or chronic diarrhea. All surviving patients reached the expected height and weight for children of the same age. Conclusion For cases of high jejunal atresia with apple-peel intestinal atresia, mesoplasty may be a good option to avoid postoperative volvulus. |
| first_indexed | 2024-04-14T04:31:24Z |
| format | Article |
| id | doaj.art-26ebc99ca9de4b338f2f8df26e5b9b9a |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-04-14T04:31:24Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-26ebc99ca9de4b338f2f8df26e5b9b9a2022-12-22T02:12:02ZengBMCBMC Pediatrics1471-24312022-07-012211710.1186/s12887-022-03475-zThe role of preserved bowel and mesentery fixation in apple-peel intestinal atresiaJinbao Han0Zenghui Hao1Long Wang2Ting Yao3Wei Fan4Zheng Zhao5Liuming Huang6Zhilin Xu7Department of Pediatric Surgery, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Pediatric Surgery, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Pediatric Surgery, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Pediatric Surgery, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Pediatric Surgery, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Pediatric Surgery, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Neonatal Surgery, Senior Department of Pediatrics, the Seventh Medical Center of PLA General HospitalDepartment of Pediatric Surgery, The First Affiliated Hospital of Harbin Medical UniversityAbstract Objective This study explored the feasibility of mesoplasty with end-to-side anastomosis in the treatment of different apple-peel mesenteric defects with high jejunal atresia. Methods A retrospective analysis was performed on 42 premature infants admitted to the hospital between 2014 and 2021. Prenatal ultrasound scans revealed bowel dilatation. The patients experienced vomiting after birth and produced white or no meconium. Plain radiography showed double or triple bubble signs and the patients underwent emergency laparotomy. High jejunal atresia with different apple-peel atresia appearance was discovered intraoperatively, involving mobilization of the ileocecal region. Patients received end-to-side anastomosis between the enlarged blind pouch and atretic bowel, as well as mesoplasty. A jejunal feeding tube was placed trans-nasally. Patients were discharged after achieving full enteral feeding. We also reviewed the literature on the subject. Results Three patients died and 39 survived. The discharged patients were followed up for 12 months, and none showed post-operative complications such as intestinal obstruction, malnutrition, or chronic diarrhea. All surviving patients reached the expected height and weight for children of the same age. Conclusion For cases of high jejunal atresia with apple-peel intestinal atresia, mesoplasty may be a good option to avoid postoperative volvulus.https://doi.org/10.1186/s12887-022-03475-zJejunal atresiaApple-peel atresiaMesoplastyRetrospective studyNeonatal surgery |
| spellingShingle | Jinbao Han Zenghui Hao Long Wang Ting Yao Wei Fan Zheng Zhao Liuming Huang Zhilin Xu The role of preserved bowel and mesentery fixation in apple-peel intestinal atresia BMC Pediatrics Jejunal atresia Apple-peel atresia Mesoplasty Retrospective study Neonatal surgery |
| title | The role of preserved bowel and mesentery fixation in apple-peel intestinal atresia |
| title_full | The role of preserved bowel and mesentery fixation in apple-peel intestinal atresia |
| title_fullStr | The role of preserved bowel and mesentery fixation in apple-peel intestinal atresia |
| title_full_unstemmed | The role of preserved bowel and mesentery fixation in apple-peel intestinal atresia |
| title_short | The role of preserved bowel and mesentery fixation in apple-peel intestinal atresia |
| title_sort | role of preserved bowel and mesentery fixation in apple peel intestinal atresia |
| topic | Jejunal atresia Apple-peel atresia Mesoplasty Retrospective study Neonatal surgery |
| url | https://doi.org/10.1186/s12887-022-03475-z |
| work_keys_str_mv | AT jinbaohan theroleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT zenghuihao theroleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT longwang theroleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT tingyao theroleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT weifan theroleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT zhengzhao theroleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT liuminghuang theroleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT zhilinxu theroleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT jinbaohan roleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT zenghuihao roleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT longwang roleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT tingyao roleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT weifan roleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT zhengzhao roleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT liuminghuang roleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia AT zhilinxu roleofpreservedbowelandmesenteryfixationinapplepeelintestinalatresia |