Dr. Robert Reíd Cabral Pediatric Hospital (Dominican Republic).
Cir Pediatr. 2021 Apr 1;34(2):74-78.
Colonic atresia is a rare malformation accounting for 1.8-15% of all intestinal atresias. We present a 6-case series along with a bibliographic review.
This 6-case series consists of three female cases and three male cases diagnosed 24-84 hours following birth. They were all located in the right hemicolon. The most relevant clinical signs included abdominal distension, absence of defecation, and bilious to fecal vomit. Repairs included primary or step-by-step anastomoses for bowel transit reconstruction. One patient diagnosed at > 72 hours of life died.
In our experience with colonic atresia, when primary or step-by-step intestinal recanalization (diversion for future repair) is achieved, the expected prognosis is excellent, provided that colonic atresia has been diagnosed at 24-48 hours of life.
结肠闭锁是一种罕见的畸形，占所有肠闭锁的 1.8-15%。我们报告了 6 例病例，并进行了文献复习。
这 6 例病例包括 3 例女性和 3 例男性，均在出生后 24-84 小时内确诊。它们均位于右半结肠。最相关的临床症状包括腹胀、无排便和胆汁性到粪便性呕吐。修复包括肠传输重建的一期或逐步吻合术。1 例出生后 >72 小时的患者死亡。
在我们治疗结肠闭锁的经验中，当实现一期或逐步肠再通（为未来修复而转流）时，只要在出生后 24-48 小时内诊断出结肠闭锁，预期预后是极好的。
