Abstract
Introduction: Jejuno-ileal atresia is a major cause of neonatal intestinal obstruction. The aim of this study is to evaluate the incidence, clinical presentation, management, and outcome of jejunoileal atresia at our institute over a period of five years.
 Methods: The medical records of the patients with the diagnosis of jejunoileal atresia during a period of five years (April 2014 to April 2019) were obtained from the hospital record section and surgical intensive care unit, and were reviewed and analyzed.
 Results: There were 61 cases of jejunoileal atresia among 144 cases of intestinal atresia. Twenty-nine (47.5%) of them were male. Laparotomy with resection of atretic part with anti-mesenteric tapering enteroplasty and end to end anastomosis was done in 15, and resection without tapering enteroplasty with end to end anastomosis was done in 39 patients. Thirty-eight patients (62.3%) were discharged while Twenty-three (37.7%) cases were lost to mortality.
 Conclusions: Although the mortality and morbidity rate are high in jejunoileal atresia, early diagnosis, improvement in surgical technique, modern ventilatory support and advanced in intensive care unit has led to the significant increase in the survival rate.
Highlights
Jejuno-ileal atresia is a major cause of neonatal intestinal obstruction
Conclusions: the mortality and morbidity rate are high in jejunoileal atresia, early diagnosis, improvement in surgical technique, modern ventilatory support and advanced in intensive care unit has led to the significant increase in the survival rate
Resection of the proximal dilated portion along with the atretic loop and end to end anastomosis of small bowel is the gold standard procedure. The outcome of these cases depend upon multiple factors like gestational age, associated anomalies, timing of presentation and pre and post-operative management.[2]. This is a retrospective study of 61 patients diagnosed and treated for jejunoileal atresia (JIA) among 144 cases of intestinal atresia at Kanti Children’s Hospital (KCH) from April 2014 to April 2019
Summary
Jejuno-ileal atresia is a major cause of neonatal intestinal obstruction. The aim of this study is to evaluate the incidence, clinical presentation, management, and outcome of jejunoileal atresia at our institute over a period of five years. Jejuno-ileal atresia (JIA) is a common cause of intestinal obstruction in neonates with, rarely associated other anomalies. Survival rates in most developed countries are more than 90%, survival rates in developing counties are still lower.[1] Surgically, resection of the proximal dilated portion along with the atretic loop and end to end anastomosis of small bowel is the gold standard procedure. The outcome of these cases depend upon multiple factors like gestational age, associated anomalies, timing of presentation and pre and post-operative management.[2]
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