Stapling tapering enteroplasty with end to end single layer anastomosis in neonatal intestinal atresia

ABSTRACT

Jejunoileal atresia [JIA] is one of the major causes of neonatal intestinal obstruction. During the past two decades a better understanding of the etiology and improvements in anesthetic and preoperative care have led to significant improvement in survival. The survival rate of JIA in the Western literature is over 89%[2, 3, 4, 5, 6] .Morbidity and mortality in JIA have always been a concern in pediatric surgery, particularly the technique of tapering and anastomosis. To evaluate the outcome of single layer end to end anastomosis with proximal stapling enteroplasty. 38 neonates born with [JIA] from April 2003 to April 2010 were operated upon. Of the 38 neonate underwent end to end anastomosis with stapling enteroplasty without resection of the proximal segment. 35 of them are doing well. The other 3 deaths were in patients who had severed co-morbid diseases. Although the overall motility was 3/38 [0.78%].No other complications were observed