Five years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital

  • Anupama Basnet Kanti Children's Hospital
  • Bijay Thapa Kanti Children's Hospital
  • Prativa Dhoubadel Kanti Children's Hospital
  • Anuj Kayastha Kanti Children's Hospital

Abstract

Introduction: Jejuno-ileal atresia is a major cause of neonatal intestinal obstruction. The aim of this study is to evaluate the incidence, clinical presentation, management, and outcome of jejunoileal atresia at our institute over a period of five years.Methods: The medical records of the patients with the diagnosis of jejunoileal atresia during a period of five years (April 2014 to April 2019) were obtained from the hospital record section and surgicalintensive care unit, and were reviewed and analyzed.Results: There were 61 cases of jejunoileal atresia among 144 cases of intestinal atresia. Twenty-nine (47.5%) of them were male. Laparotomy with resection of atretic part with anti-mesenteric tapering enteroplasty and end to end anastomosis was done in 15, and resection without tapering enteroplasty with end to end anastomosis was done in 39 patients. Thirty-eight patients (62.3%) were discharged while Twenty-three (37.7%) cases were lost to mortality.Conclusions: Although the mortality and morbidity rate are high in jejunoileal atresia, early diagnosis, improvement in surgical technique, modern ventilatory support and advanced in intensive care unit has ledto the significant increase in the survival rate.

Author Biographies

Anupama Basnet, Kanti Children's Hospital
MBBS,MS Associate Professor and consultant Pediatric Surgeon
Bijay Thapa, Kanti Children's Hospital
MBBS,MS, Associate Professor and senior consultant Pediatric Surgeon
Prativa Dhoubadel, Kanti Children's Hospital
MS Resident, NAMS
Anuj Kayastha, Kanti Children's Hospital
MBBS, MS

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Published
2021-03-09
How to Cite
BASNET, Anupama et al. Five years experiences in diagnosis and management of jejuno-ileal atresia in Kanti children’s hospital. J Soc Surg Nep, [S.l.], v. 23, n. 2, p. 4-8, mar. 2021. ISSN 2392-4772. Available at: <http://jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=429>. Date accessed: 13 apr. 2021.