Gutiérrez-Carrillo MP, Zertuche-Coindreau JM, Santana- Cárdenas CL, Esparza-Ponce C, Sánchez-Rodríguez YB, Barrera-de León JC

Language: Spanish
References: 14
Page: 490-495
PDF size: 384.44 Kb.

ABSTRACT

Background: Intestinal atresia is one of the most common congenital malformations that obstruct the digestive tract, representing one third of cases of neonatal intestinal obstruction. The aim was to describe the morbidity and mortality of intestinal atresia in the neonatal period.
Methods: Descriptive cross-sectional study conducted from neonates seen at a referral hospital from January 2007 to August 2012 in neonate carriers of intestinal atresia. We performed a review of records selected from a database of the Pediatric Surgery Department and carried out non-probabilistic sampling of consecutive cases, in addition to qualitative analyses with frequencies and percentages and quantitative medians and ranges. SPSS 20.0 statistical software was utilized.
Results: One hundred thirteen patients were included, among whom there were 55 males (49%), and 58 females (51%): median age at diagnosis of intestinal atresia was 1 day (range, 1-13) and median age at surgery was 3 days (range, 1–41). The condition was found in duodenum 47 (42%), jejunum 26 (23%), ileum 27 (24%), colon 13 (11%). The majority were infants born at term weighing > 2,500 gr 80 (71%). Duodenal atresia type I was the most frequent intestinal atresia found 20 (18%), followed by annular pancreas 17 (15%). Complicated forms include types III-b and IV 13 (13%), mainly jejunum. Primary anastomosis was found in 75 infants (85%). The most common surgical complication was dehiscence 24 (21%), and sepsis care was administered to 65 (58%). Overall mortality was 15 (13%).
Conclusions: The most frequent diagnosis was duodenal atresia type I and the most common surgical complications were dehiscence and medical sepsis.

REFERENCES

1. Nichol PF, Reeder A, Botham R. Humans, Mice, and Mechanims of Intestinal Atresias: A Windows into Understanding Early Intestinal Development. J Gastrointest Surg. 2011;15:694-700.

2. Rodríguez-García R, Rodríguez-García FC. Diagnóstico Prenatal de Atresia Intestinal Múltiple. Rev Mex Pediatr. 2005;72:179-181.

3. Jiménez JH. Atresia intestinal, Experiencia del Hospital Infantil de Sonora. Rev Mex Pediatr. 2005;12:127-135.

4. Prasad TRS, Bajpai M. Intestinal Atresia. Indian J Pediatr. 2000;67(9):671-678.

5. Martínez SN, Martínez Hernández-Magro PM, Hernández-Magro NM. Atresia Congénita de Colon. Una Causa Rara de Obstrucción Intestinal Neonatal. Rev Mex Pediatr. 2002;69(6):243-246.

6. García H, Franco-Gutiérrez M, Rodríguez-Mejía EJ, González-Lara CD. Comorbilidad y Letalidad en el Primer Año de Vida en Niños con Atresia Yeyunoileal. Rev Invest Clin. 2006;58(5):450-457.

7. Gray SW, Skandalakis JE. Embryology for Surgeons. Philadelphia, Pa: WB Saunders Co, 1972 p. 147-148.

8. Romero JRM, Beltrán BF. Atresia y estenosis del intestino delgado y colon. Bol Med Hosp Infant Mex. 1968;25:495-515.

9. Louw JH. Resection and End-to-end Anastomosis in the Management of Atresia and Stenosis of the Small Bowel. Surgery. 1967; 62(5):940- 50.

10. Grosfeld JL, Ballantine TVN, Shoemaker R. Operative management of intestinal atresia and stenosis based on pathologic findings. J Pediatr Surg. 1979;14(3):368-75.

11. Touloukian RJ. Diagnosis and Treatment of Jejunoileal Atresia. World J Surg. 1993;17(3):310-317.

12. Dalla Vecchia LK, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, Engum SA. Intestial Atresia and Stenosis A 25-Year Experience With 277 Cases. Arch Surg. 1998;133(5):490-497.

13. Ramírez PG. Atresia de intestino. Contribución a la Resolución de un Problema. Bol Med Hosp Infant. 1975;23(5):867-886.

14. Reynoso AE, Camargo GFD, Rangel LMC, Guzmán AAN. Atresia intestinal múltiple: Reporte de un caso. Rev Méd Hosp Gen Méx. 2008;71(2):94-98.