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Outcomes of end-to-side oblique anastomosis as a surgical technique for jejuno-ileal atresia

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Abstract

All of the anastomotic techniques used for jejuno-ileal atresia aim to overcome the size discrepancy between the resected bowel ends, lessen anastomotic complication and prevent development of short bowel syndrome. Aim of study was to evaluate the outcomes of end-to-side oblique anastomosis for jejuno-ileal atresia and verifying the risk factors for complications. A prospective study was conducted on patients with jejuno-ileal atresia managed by end-to-side oblique anastomotic technique over a 7-year period. Data were collected and analyzed to evaluate the outcomes of this surgical technique as morbidity and mortality. The study included 40 patients, 26 males and 14 females. The mean operation time was 105 minutes, the mean time for starting oral feeding was 5.7 days and the mean duration of hospital stay was 9.13 day. Postoperative complications occurred in 11 patients (27.5%). Death was recorded in six cases; survival rate was 85%. End-to-side oblique anastomosis is simple and effective surgical procedure for most types of jejuno-ileal atresia. The technique results in wide and early functioning anastomosis, relatively low morbidity and mortality. As with any neonatal surgery, the overall prognosis and outcomes is primarily dependent on prematurity, birth weight and associated anomalies in addition to the amount of residual bowel function that exist after surgery.

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Fig. 1
Fig. 2

Abbreviations

ESO:

End-to-side oblique

JIA:

Jejuno-ileal atresia

LBW:

Low birth weight

NG:

Nasogastric

NICU:

Neonatal intensive care unit

NPO:

Nil per os

SBS:

Short bowel syndrome

TPN:

Total parenteral infusion

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Authors and Affiliations

  1. Department of Surgery, College of Medicine, Mustansiriyah University, Baghdad, Iraq

    Ali Egab Joda & Ali Farooq Abdullah

  2. Department of Pediatric Surgery, Central Child Teaching Hospital, Baghdad, Iraq

    Ali Egab Joda & Ali Farooq Abdullah

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  1. Ali Egab Joda
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  2. Ali Farooq Abdullah
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Correspondence to Ali Egab Joda.

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Joda, A.E., Abdullah, A.F. Outcomes of end-to-side oblique anastomosis as a surgical technique for jejuno-ileal atresia. Updates Surg 71, 587–593 (2019). https://doi.org/10.1007/s13304-019-00666-9

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