Atresia intestinal pdf pediatria integral

Defecto gentico autosmico vomito no biliar y distensin abdominal superior atresia pilorica tratamiento qx. Oct 10, 2016 intestinal atresia ia is one of the most common causes of intestinal obstruction in neonates 1. Malformaciones congenitas digestivas pediatria integral. The most common form of intestinal atresia is duodenal atresia. Of the 277 neonates, 10 had obstruction in more than 1 site. Prenatal ultrasound diagnosis of gastrointestinal malformations. There are several variants of intestinal atresia which can be located at any portion of the bowel but all of them cause a bowel obstruction which needs an operation to repair. Intestinal atresia ahtreezha is a term used to describe a broad spectrum of birth defects that result in a blockage in either the small or large intestine. Intestinal atresia is a wellrecognized cause of bowel obstruction in the newborn. Abdominal radiograph demonstrating the characteristic doublebubble sign associated with duodenal atresia.

Among the preoperative complications,bronchopneumonia 42% was the most frequent and the sepsis in newborns was the most frequent postoperative complication 38%. Nov 01, 2015 intestinal obstruction is the common surgical problem in neonates of which intestinal atresia and stenosis contributes one third of cases. The management of neonates with intestinal atresia has improved in recent decades due to refinements in neonatal intensive care, operative technique, use of total parenteral nutrition tpn, and neonatal anesthesia. Management problems in a developing country article pdf available in pediatric surgery international 201112. The level of obstruction was duodenal in 8 infants, jejunoileal in 128, and colonic in 21. Depending on where the blockage occurs, intestinal atresia may be given a more specific name for example, blockage in the duodenum would be called duodenal atresia. To evaluate the presentation, management, complications and outcome of intestinal atresia ia managed at our center over a period of 1 year. Intestinal atresia is the main cause of obstruction in the digestive tract in newborn. It occurs most frequently in the ileum lower part of the small intestine. Intestinal atresia, however, can be more challenging, especially in the presence of other pathologic abnormalities. Over a 30year period 1972 to 2001 592 infants with intestinal atresia were identi. Implications of antenatal diagnosis of small intestinal atresia in the 1990s. This has been achieved because of refinements in neonatal intensive care, operative technique, use of total parenteral nutrition tpn, antenatal.

Atresia intestinal, ileo meconial, invaginacion, ovillo parasitario, volvulo, hernia. This leads to narrowing, or in the most severe cases, complete obliteration of the intestinal lumen in the case that the superior mesenteric artery, or another major intestinal artery, is occluded, large. Intestinal atresia absence of a normal opening is the failure of a portion of the intestinal tract to completely form. Otros trastornos obstructivos congenitos del tubo digestivo como. Intestinal atresia definition of intestinal atresia by. Colonic atresia is the least frequent cause of neonatal intestinal obstruction.

Masculine sex was predominant, and vomiting was present in all patients of our study. Of these, the patients with the diagnosis of duodenal atresia or stenosis were selected for the occurrence of late. The esophageal atresia was the surgical affecton of highest incidence 28%. Unidad del paciente cronico complejo pediatrico y rehabilitacion intestinal. The atresia blockage most often occurs along the small intestine divided into the duodenum, jejunum, and ileum. Prenatal ultrasonography makes possible an early diagnosis and treatment with better survival. Intestinal obstruction is the common surgical problem in neonates of which intestinal atresia and stenosis contributes one third of cases. The combination of gastroschisis, jejunal atresia, and. Previous reports from nigeria have indicated a high mortality rate. An atresia is a congenital defect of a hollow viscus that results in complete obstruction of the lumen. Intestinal atresia is one of the most frequent causes of bowel obstruction in the newborn and can occur at any point in the gastrointestinal tract. Although the use of both upper and lower contrast gastrointestinal studies should be included in the workup of intestinal atresia, simply monitoring of bowel movements is extremely sensitive in assessing bowel obstruction. The patient was a female infant, aged six days she was born with a prominent navel. Intestinal atresia occurs in around 1 in 3,000 births in the united states.

Intestinal atresia is a congenital present at birth birth defect that develops when part of the intestines are missing or blocked. Demographic data, antenatal history, presenting complaints, location duodenal, jejunoileal, colonic of. During normal fetal development, the intestines remain unobstructed, allowing contents from the stomach to flow freely through the. Cases of congenital intestinal atresia are comparative rare, hence i venture to record the two following cases whic. Reported survival rates in most of the series from developed countries are 90% or more 24. Records of patients of ia admitted in our center from january 2015 to december 2015 were retrospectively analyzed. During normal fetal development, the intestines remain unobstructed, allowing contents from the stomach to flow freely through the babys digestive tract figure 1. It can also occur in the duodenum part of the intestine that empties from the stomach, jejunum second part of the intestine extending from the.

And the diagnosis was performed during the first 24 hours alter birth in 54. Sep 09, 20 risk stratification in duodenal atresia groups mortality group a 2. Risk stratification in duodenal atresia groups mortality group a 2. Survival rates and child growth have increased thanks to. Intestinal atresia is a congenital obstruction of the intestine, sometimes associated with a loss of tissue, resulting in a disruption of intestinal continuity. Histomorphological features of intestinal atresia and its. Hospital pediatrico universitario jose luis miranda. The intestinal atresia was located in jejunum ileum in 63,6% of the cases, and septic complicatins were frequent. Anomalias congenitas atresia lobar segmentaria, enfisema lobar congenito. Cuando atresia formado incorrectamente una determinada region del intestino. Objective to evaluate the causes, clinical presentation, diagnosis, operative management, postoperative care, and outcome in infants with intestinal atresia design retrospective case series setting pediatric tertiary care teaching hospital patients a populationbased sample of 277 neonates with intestinal atresia and stenosis treated from july 1, 1972, through april 30, 1997. Implications of antenatal diagnosis of smallintestinal atresia in the 1990s. Manual amir enfermeria enfermeria pediatrica 4a edicion. The most common cause of nonduodenal intestinal atresia is a vascular accident in utero that leads to decreased intestinal perfusion and ischemia of the respective segment of bowel.