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Abstract
Transanastomotic feeding jejunostomy with nasogastric aspiration in case of jejuno-ileal atresia for early feeding and better out come: Five year experience
Highlights
Jejunoileal atresias are major causes of neonatal intestinal obstruction .It can occur anywhere along the gastrointestinal tract, and the anatomic location of the obstruction determines the clinical presentation
Five patients died out of 25 in anastomosis without feeding jejunostomy, mortality rate was 5 in 25 (20%) due to leak at the site of anastomosis
Jejunostomy feeds were started on 5.56 ± 0.76 whereas in anastomosis without jejunostomy feed it was on 9.76 ± 0.72 day
Summary
Jejunoileal atresias are major causes of neonatal intestinal obstruction .It can occur anywhere along the gastrointestinal tract, and the anatomic location of the obstruction determines the clinical presentation. Most newborns with intestinal obstruction present with abdominal distention and bilious emesis in the first 2 days of life. Bilious vomiting in the neonate should be considered secondary to a mechanical obstruction until proved otherwise, and emergency surgical evaluation is warranted in every newborn with this symptom. Theanostomotic leak can occur due to disparity in luminal diameter, poor nutrition and technique which can cause high morbidity and mortality. To reduce this we performed end-end anastomosis with transanastomotic feeding jejunostomy which give better outcome
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