European Journal of Biomedical and Pharmaceutical Sciences

INTESTINAL ATRESIA WITH MULTILOBED LIVER: A CASE REPORT

Dr Dnyaneshwar, Ch Sudhakara Babu

ABSTRACT

Objective To evaluate the causes, clinical presentation, diagnosis, operative management, postoperative care, and outcome in infants with intestinal atresia. Design Retrospective case series. Setting Pediatric tertiary care teaching hospital. Interventions Patients with duodenal obstruction were treated by duodenoduodenostomy , Patients with jejunoileal atresia were treated with resection and anastomosis; tapering enteroplasty, or temporary ostomy, web excision, and the Bianchi procedure . Patients with colon atresia were managed with initial ostomy and delayed anastomosis. Main Outcome Measures Morbidity and early and late mortality. Conclusions Cardiac anomalies (with duodenal atresia) and ultrashort-bowel syndrome (<40 cm) requiring long-term total parenteral nutrition, which can be complicated by liver disease (with jejunoileal atresia), are the major causes of morbidity and mortality in these patients. Use of growth factors to enhance adaptation and advances in small bowel transplantation may improve long-term outcomes.

Keywords: Cardiac anomalies, diagnosis, jejunoileal atresia.