| A Clinical Analysis of 33 Cases of Congenital Samll Intestinal Atresia. |
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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 |
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김효신1, 임혜진1, 정옥승1, 서손상1, 양정우1 |
1일신기독병원 소아과학교실
2일신기독병원 외과학교실 |
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| Abstract |
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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%).
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| Key Words:
Congenital small intestinal atresia.
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