medigraphic.com
SPANISH

Revista Mexicana de Pediatría

ISSN 0035-0052 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2025, Number 1

<< Back Next >>

Rev Mex Pediatr 2025; 92 (1)

Surgical management of colonic atresia using primary anastomosis

Rubio-Duarte AF, Zárate-Suárez LA, Aristizábal-Pérez LC
Full text How to cite this article 10.35366/120764

DOI

DOI: 10.35366/120764
URL: https://dx.doi.org/10.35366/120764

Language: Spanish
References: 21
Page: 16-19
PDF size: 303.64 Kb.


Key words:

colonic atresia, intestinal atresia, neonatal intestinal obstruction, surgical management, newborn.

ABSTRACT

Introduction: colonic atresia (CA) is a rare form of congenital intestinal atresia. Surgical intervention is required; however, choosing between primary anastomosis and staged management remains a clinical challenge. Case description: we report the case of a newborn diagnosed with type III CA who underwent primary anastomosis within the first 48 hours of life. Although the initial outcome was favorable, a second surgical procedure was necessary due to an anastomotic leak. Conclusions: primary anastomosis represents a feasible surgical option for managing CA, potentially avoiding the need for colostomy. The choice of surgical technique should be individualized based on patient-specific factors. Optimal perioperative care is essential to improve outcomes in these patients.


REFERENCES

  1. El-Asmar KM, Abdel-Latif M, El-Kassaby A-HA, Soliman MH, El-Behery MM. Colonic atresia: association with other anomalies. J Neonatal Surg. 2016; 5(4): 47.

  2. Tanaka A, Miyasaka EA. Colonic and rectal atresia. Semin Pediatr Surg. 2022; 31(1): 151143.

  3. Ladan A, Mahdian JR, Zareh AM, Moharrami YP. Colonic atresia and hirschsprung disease: a case report and review of the literature. J Med Case Rep. 2023; 17(1): 233.

  4. Grosfeld JL, Ballantine TV, Shoemaker R. Operative management of intestinal atresia and stenosis based on pathologic findings. J Pediatr Surg. 1979; 14(3): 368-375.

  5. Cox SG, Numanoglu A, Millar AJ, Rode H. Colonic atresia: spectrum of presentation and pitfalls in management. A review of 14 cases. Pediatr Surg Int. 2005; 21(10): 813-818.

  6. Álvarez MG, Ramírez RJ, Ramírez RM, Hidalgo FE. Atresia de colon. A propósito de un caso. CIRUPED. 2015; 5(4) 98-101.

  7. Cabrera VC, Díaz Z, Alcántara E, Castillo E. Colonic atresia: a rare entity in the newborn. A six-case report and a bibliographic review. Cir Pediatr. 2021; 34(2): 74-78.

  8. Fairbanks TJ, Kanard RC, Del Moral PM, Sala FG, De Langhe SP, Lopez CA et al. Colonic atresia without mesenteric vascular occlusion. The role of the fibroblast growth factor 10 signaling pathway. J Pediatr Surg. 2005; 40(2): 390-396.

  9. Mirza B, Iqbal S, Ijaz L. Colonic atresia and stenosis: our experience. J Neonatal Surg. 2012; 1(1): 4.

  10. Allert T, Schellerer V. Distal colonic atresia: a case report. J Surg Case Rep. 2023; 2023(6): rjad335.

  11. Coran AG, Adzick SS, Krummel T, Caldamone A. Pediatric surgery. 7th ed. Elsevier Inc, 2012.

  12. Montenegro D, Aragón S, Valero J. Colonic atresia in a newborn. Case report. Case Reports. 2018; 4(1): 69-74.

  13. Abokrecha A, Sayed AG, Alnajjar K, Almatrafi OA, Aldamouni M. Sigmoid atresia: Case report and literature review. Int J Surg Case Rep. 2024; 116: 109434.

  14. Pratama HA, Supangat. Colonic atresia with modified Santulli procedure. J Pediatr Surg Case Reports. 2020; 58: 101473.

  15. Pant N, Singh S, Rawat J, Kureel SN, Wakhlu A. Atresia of the colon: etiological aberrations, clinical observations, and challenges in management. J Neonatal Surg. 2018: 7(2): 22.

  16. Hillyer MM, Baxter KJ, Clifton MS, Gillespie SE, Bryan LN, Travers CD et al. Primary versus secondary anastomosis in intestinal atresia. J Pediatr Surg. 2019; 54(3): 417-422.

  17. Wester T. Colonic and rectal atresias. In: Puri P, Hollwarth M. Pediatric surgery. Berlin, Heidelberg: Springer Berlin Heidelberg, 2017, pp. 1-10.

  18. David PBJ, Vicente SP. Atresia congénita de colon. A propósito de dos casos. Acta Pediátrica de México. 2014; 31(5): 217-221.

  19. Martínez SN, Hernández-Magro PM, Hernández-Magro NM. Atresia congénita del colon. Una causa rara de obstrucción intestinal neonatal. Rev Mex Pediatr. 2002; 69(6): 243-246.

  20. Ponce-Rosas A, Ávila-Zaragoza LM, Jiménez-Urueta PS, Castañeda-Ortiz RA. Atresia congénita de colon: diagnóstico radiológico. Acta Pediátrica de México. 2007; 28(2): 87-89.

  21. Neria ME, Martínez A, Rivero LA. Recién nacido con atresia de colon tipo I. An Med (Mex). 2009; 54(1): 47-51.




Figure 1
Figure 2
Figure 3

2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Pediatr. 2025;92