Congenital colonic atresia: our experience and literature review

Abstract

Objective To explore the clinical characteristics, thrapeutic strategies, and prognosis of colonic atresia (CA) . Methods The clinical data of 19 children with colonic atresia treated at our hospital from June, 2007 to June, 2017 were collected; and the diagnostic and treatment experiences were summarized. Results Among the 19 children, 3 cases were confirmed before the operation, and 16 during. All the children were surgically treated 17-120 h after birth. 12 children complicated with no structural organ malformation; 4 had multiple intestinal atresia, including 1 case of pyloric atresia and 1 case of intestinal duplication; 1 congenital megacolon; 1 meconium peritonitis; and 1 intestinal twist. 9 children took staging operation; among which, 1 complicated with pyloric atresia, and got increasing fistulae after fistulization and died because of giving up treatment for hematosepsis. 7 children were treated by one stage radical surgery; among which, 1 case had intestinal obstruction after surgery and took second operation; and the postoperative results indicated complication with congenital megacolon; all recover well. 3 children gave up treatment because of multiple atresia. Conclusions Colonic local dilatation is an important basis for the preoperative localization diagnosis of colonic atresia. According to the surgeons’ preference and intraoperative conditions, primary anastomosis or enterostomy can be selected. As a precaution, distal colonic biopsy can be considered to exclude Hirschsprung’s disease. Key words: Colonic atresia; Radiological features; Treatment