Lee Si Hak, Cho Yong Hoon, Kim Hae Young, Park Jae Hong, Byun Shin Yun
Medical Research Institute, Pusan National University Hospital, Busan, South Korea.
Pediatr Surg Int. 2012 Nov;28(11):1079-83. doi: 10.1007/s00383-012-3131-5. Epub 2012 Jul 18.
Small intestinal atresia is relatively common anomaly that causes intestinal obstruction in neonates. Although surgical interventions are usually successful, critical problems could raise in certain cases. This study aimed to identify the distinct clinical characteristics of complex cases of jejunal atresia by retrospective analysis.
Overall, 91 cases of small intestinal atresia, which occurred in infants between 2001 and 2010 at Pusan National University Children's Hospital, were reviewed retrospectively. The clinical characteristics of complex jejunal atresia were analyzed.
Of the 91 small intestinal atresias, 11 cases of complex jejunal atresia were found: high jejunal atresia with distal deletion, 3; high jejunal atresia with distal multiple atresias, 4; jejunal atresia with distal apple peel appearance, 1; jejunal atresia with colonic atresia, 1; jejunoileal atresia with distal volvulus, 2. Short bowel syndrome was found in four patients and bowel-lengthening procedure was performed in all. Three patients presented with an adhesive intestinal obstruction during the early postoperative period. Postoperative mortality occurred in one patient with distal volvulus.
From a surgical perspective, complex jejunal atresia can cause many critical problems after the correction operation. An aggressive and multidisciplinary approach is necessary for managing this condition.
小肠闭锁是新生儿肠梗阻的相对常见的异常情况。尽管手术干预通常是成功的，但在某些情况下可能会出现严重问题。本研究旨在通过回顾性分析确定空肠闭锁复杂病例的独特临床特征。
回顾性分析2001年至2010年在釜山国立大学儿童医院发生的91例小肠闭锁婴儿病例。分析复杂空肠闭锁的临床特征。
在91例小肠闭锁病例中，发现11例复杂空肠闭锁：高位空肠闭锁伴远端缺失，3例；高位空肠闭锁伴远端多处闭锁，4例；空肠闭锁伴远端苹果皮样外观，1例；空肠闭锁伴结肠闭锁，1例；空回肠闭锁伴远端肠扭转，2例。4例患者出现短肠综合征，均接受了肠延长手术。3例患者术后早期出现粘连性肠梗阻。1例远端肠扭转患者术后死亡。
从手术角度来看，复杂空肠闭锁在矫正手术后可能会导致许多严重问题。积极的多学科方法对于处理这种情况是必要的。
