Hasegawa T, Sumimura J, Nose K, Sasaki T, Miki Y, Dezawa T
Division of Pediatric Surgery, Kinan General Hospital, Wakayama, Japan.
Surg Today. 1996;26(10):849-51. doi: 10.1007/BF00311654.
We report herein the case of a 2080-g premature male infant born at 34 weeks' gestation with multiple intestinal atresia, for whom multiple anastomoses were successfully performed. A total of 11 atresias were found in the small bowel, and five anastomoses were performed to preserve 59 cm of small bowel and the ileocecal valve. Postoperatively, he developed several episodes of sepsis caused by persistent enterostasis, but was able to be weaned from total parenteral nutrition (TPN) by postoperative day (POD) 106. Thus, multiple anastomoses may be the appropriate procedure to prevent short-gut syndrome for congenital multiple intestinal atresia, even in premature infants.
我们在此报告一例孕34周出生的2080克早产男婴，患有多处肠道闭锁，成功进行了多次吻合术。在小肠中总共发现11处闭锁，并进行了5次吻合术以保留59厘米的小肠和回盲瓣。术后，他因持续性肠梗阻发生了几次败血症，但在术后第106天能够停用全胃肠外营养（TPN）。因此，即使对于早产儿，多次吻合术可能是预防先天性多处肠道闭锁所致短肠综合征的合适手术方法。
