All issues > Volume 30(3); 1987

Original Article

J Korean Pediatr Soc. 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

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%).

Keywords :Congenital small intestinal atresia.