Warning: fopen(/home/virtual/pediatrics/journal/upload/ip_log/ip_log_2024-06.txt) [function.fopen]: failed to open stream: Permission denied in /home/virtual/pediatrics/journal/ip_info/view_data.php on line 82

Warning: fwrite(): supplied argument is not a valid stream resource in /home/virtual/pediatrics/journal/ip_info/view_data.php on line 83
A Clinical Analysis of 33 Cases of Congenital Samll Intestinal Atresia.

Journal of the Korean Pediatric Society 1987;30(3):291-296.
Published online March 31, 1987.
A Clinical Analysis of 33 Cases of Congenital Samll Intestinal Atresia.
Hyo Sin Kim1, He Jin Im1, Ock Seung Jeong1, Son Sang Seo1, Jung Woo Yang1
1Department of Pediatrics, Il Sin Christian Hiospital, Busan, Korea
2Department of Surgery, Il Sin Christian Hiospital, Busan, Korea
선천성 소장폐쇄 33례의 임상적 고찰
김효신1, 임혜진1, 정옥승1, 서손상1, 양정우1
1일신기독병원 소아과학교실
2일신기독병원 외과학교실
Abstract
A clinical study was done on 33 cases of congenital small intestinal atresia at II Sin Christian Hospital between Jan. 1979 and Dec. 1985. The following results were obtained: 1) The incidence of congenital small intestinal atresia was 1: 1509 live births and sex ratio was 1. 2: 1, male: female which was the same as the overall hospital distribution. 2) Birth weight was less than 2,500 gm in 45.5% of cases and the gestational age was less than 37 weeks in 33.3%. 3) Age on diagnosis was less than 1 day in 60.0% of cases. 4) The main symptom as vomiting which occurred in 87.9% of cases followed by abdominal distension (57.6%), jaundice, respiratory distress, and dehydration. In 33.3% of cases, meconium was passed. 5) The sites of atresia in order of frequency were jejunum (54.1%), ileum (25.0%), duodenum (16.7%) and multiple sites (4.2%). 6) In 15 of the 33 cases, there was a total of 21 other associated neonatal anomalies. The major anomalies in order of frequency were in the gastrointestinal tract, urogenital tract, and cardiovascular system and there was a case of Down’s syndrome. 7) The most common maternal complication was hydramnios (30.3%) and other maternal complications were eclampsia, intrapartum infection, fetal distress in labor, and prolonged rupture of membranes. 8) Surgery was done in 20 cases with a survival rate of 70.0% and the most common method of correction was end-to-end anastomosis (50.0%).
Key Words: Congenital small intestinal atresia.


METRICS Graph View
  • 949 View
  • 2 Download