ISM (Intisari Sains Medis) : Jurnal Kedokteran
Vol. 11 No. 1 (2020): (Available online: 1 April 2020)

Jejunal atresia in the newborn: three cases after resection and end-to-end anastomoses

Ni Made Sukewanti (Department of Child Health, Faculty of Medicine Udayana University, Sanglah General Hospital, Bali, Indonesia)
I Wayan Dharma Artana (Department of Child Health, Faculty of Medicine Udayana University, Sanglah General Hospital, Bali, Indonesia)
Putu Junara Putra (Department of Child Health, Faculty of Medicine Udayana University, Sanglah General Hospital, Bali, Indonesia)
I Made Kardana (Department of Child Health, Faculty of Medicine Udayana University, Sanglah General Hospital, Bali, Indonesia)
Made Sukmawati (Department of Child Health, Faculty of Medicine Udayana University, Sanglah General Hospital, Bali, Indonesia)
Kadek Deddy Ariyanta (Department of Child Health, Faculty of Medicine Udayana University, Sanglah General Hospital, Bali, Indonesia)



Article Info

Publish Date
26 Mar 2020

Abstract

Background: Intestinal atresia is a common cause of neonatal intestinal obstruction. Jejunal atresia occurs more frequent than duodenal or colonic atresias while single atresias are most commonly encountered. Jejunal atresia is classified into 4 types: Type I (a mucosal/septal), Type II (a fibrous cord/band), Type III (blind ends are entirely separated without a fibrous cord between them and a large mesenteric defect), and Type IV (combination of atresia type I to III). This study aims to elaborate jejunal atresia in the newborn after resection and end-to-end anastomoses.Case Description: We report three cases of jejunal atresia consists of different types: type IV (first case), type IIIa (second case) and type I (third case). Cases were neonates born with signs of upper gut obstruction. Bile-stained vomiting was reported a few hours after birth and failed to pass meconium in the first 24 hours. Postnatal abdominal X-ray showed dilatation of the gaster and no gas present in the pelvic floor. In the third case, it showed a triple bubble sign on abdominal x-ray and a laparotomy revealed the type of jejuno-ileal atresia. Also, the resection on the atresias and end to end anastomosis were performed. Cases were admitted to neonatal intensive care unit with total parenteral nutrition. The first two cases died due to sepsis, while the third case survived.Conclusion: Jejunal atresia is a rare disease among newborn. All of the patients have provided resection and end-to-end anastomoses, although 2 of them did not survive. 

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Journal Info

Abbrev

ism

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology

Description

Intisari Sains Medis is published by Medical Scientific Community, Indonesia. Intisari Sains Medis is an international, multidisciplinary, peer-reviewed, open access journal accepts papers for publication in all aspects of Science Digest, Medical Research Development, Research Medical Field and ...