Year : 2022 | Volume
: 27 | Issue : 6 | Page : 666--669
Outcome of tapering enteroplasty in managing jejunoileal atresia
Abeer Aboalazayem, Moutaz Ragab, Abdelaziz Magdy, Khaled Bahaaeldin, Aly Shalaby
Department of Pediatric Surgery, Cairo University Specialized Pediatric Hospital, Cairo, Egypt
Background: Jejunoileal atresia (JIA) represents a common cause of neonatal bowel obstruction. There is a discrepancy between the diameters of the proximal and the distal bowel loops and this is managed with excision or tapering of the dilated proximal bowel loop. We aim primarily to evaluate the outcome of tapering enteroplasty (TE) in managing JIA and secondarily to compare the outcome of TE to non-TE.
Materials and Methods: A retrospective analysis of records of all neonatal admissions with JIA from January 2017 to December 2018 at a tertiary university children's hospital. Type and location of atresia, time to full enteral feeds, length of stay (LOS), complications, and outcome were assessed in TE and non-TE groups.
Results: Forty-one patients were included in the study; 29 (70.7%) cases had jejunal atresia and 12 (29.3%) had ileal atresia. Seventeen (41.4%) patients had TE. The median days to full feeds was 19; 28 in the TE group versus 16 in the non-TE group (P = 0.022). Four (9.7%) cases needed a re-exploration because of failure to start feeds; all in the non-TE group. The median LOS was 33 days for TE versus 22 days for non-TE (P = 0.101). Twenty-one cases (51.2%) developed a wound infection and showed a significantly longer median LOS of 29.5 versus 19 days (P = 0.019). Mortality was 7 (17.1%).
Conclusions: TE did not show a superior outcome when compared to resection of the dilated bowel. It was associated with longer time to reach full enteral nutrition and longer LOS.
Department of Pediatric Surgery, Cairo University Specialized Pediatric Hospital, 1 Ali Ibrahim Basha, El-Sayeda Zainab, Cairo Governorate
|How to cite this article:|
Aboalazayem A, Ragab M, Magdy A, Bahaaeldin K, Shalaby A. Outcome of tapering enteroplasty in managing jejunoileal atresia.J Indian Assoc Pediatr Surg 2022;27:666-669
|How to cite this URL:|
Aboalazayem A, Ragab M, Magdy A, Bahaaeldin K, Shalaby A. Outcome of tapering enteroplasty in managing jejunoileal atresia. J Indian Assoc Pediatr Surg [serial online] 2022 [cited 2022 Dec 7 ];27:666-669
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2022;volume=27;issue=6;spage=666;epage=669;aulast=Aboalazayem;type=0