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Colon atresia

Rahul Gupta, Shilpi Gupta, Pramila Sharma, Anu Bhandari, Arun Kumar Gupta, Praveen Mathur
Gallbladder duplication in association with other GIT anomalies is a rare entity. We report two neonates; one with duodenal atresia and the other newborn with pyloric atresia, ileal atresia and colonic atresia, both were associated with gallbladder duplication which has not been reported earlier.
April 2016: Journal of Neonatal Surgery
P A Lobos, S E M Calello, V B Busoni, M M Urquizo Lino, S G Prodan, R Sanchez Claria
CASE REPORT: Gastroschisis is the most frequent congenital abdominal wall defect. When associated with intestinal atresia (complex gastroschisis), short bowel syndrome may occur. Complicated gastroschisis is the most frequent cause of short bowel syndrome in our series. The serial transverse enteroplasty procedure has been used to lengthen the bowel and achieve intestinal rehabilitation in patients with dilated gut. The use of this technique in the newborn period, for tailoring the bowel while preserving absorptive mucosa, has been recently described...
March 2016: Transplantation Proceedings
Chenglu Qin, Guangnan Luo, Min Du, Shi Liao, Chunping Wang, Keke Xu, Jie Tang, Baoyan Li, Juanjuan Zhang, Hongxin Pan, Tyler W Ball, Yujiang Fang
OBJECTIVE: To evaluate the outcomes of laparoscope-assisted peritoneal vaginoplasty for the treatment of congenital vaginal atresia. METHODS: A retrospective study enrolled patients diagnosed with congenital vaginal atresia who were treated with one of two different laparoscope-assisted peritoneal vaginoplasty techniques (named Luohu-one and Luohu-two) between October 31, 2001 and December 31, 2014. Operative time, intraoperative bleeding volume, surgical difficulty, complications, and post-procedure sexual satisfaction were reported...
June 2016: International Journal of Gynaecology and Obstetrics
Zambaiti Elisa, Chiaramonte Cinzia, Salerno Sergio, Li Voti Giuseppe, Siracusa Fortunato
Congenital colonic stenosis is a rare pediatric condition. Since 1968, only 16 cases have been reported in the literature. To the authors' knowledge, multiple congenital colonic stenosis has not been previously reported in the literature. We report the case of a 2-month-old male, presented at our Neonatal Intensive Care Unit with a suspicion of intestinal malrotation. Clinical examination revealed persistent abdominal distension. During the enema examination, the contrast medium appeared to fill the lumen of the colon up to three stenotic segments and could not proceed further...
2016: Case Reports in Pediatrics
Ilaria Goruppi, Silvia Arévalo, Romy Gander, José-Andres Molino, Marc Oria, Elena Carreras, José-Luis Peiro
OBJECTIVE: To evaluate the correlation between different degrees of bowel intraluminal echogenicity showed by prenatal ultrasounds and the anatomic level of intestinal atresia. METHODS: We report three cases of intestinal atresia at different intestinal levels verified during the neonatal surgery with specific ultrasonographic prenatal features. Intensity of sonolucency was analyzed using the image-processing program ImageJ for quantitative measurements based on the gray-scale intensity values...
March 29, 2016: Journal of Maternal-fetal & Neonatal Medicine
Inna Lobeck, Phylicia Dupree, Marilyn Stoops, Alessandro de Alarcon, Michael Rutter, Daniel von Allmen
PURPOSE: Severe esophageal disease warranting replacement often presents with additional airway anomalies in children. Colon interposition and airway reconstruction have separately proven successful in attaining satisfactory outcomes. The aim of this study was to determine outcomes associated with an interdisciplinary approach to care of the patient with complex esophageal and airway disease. METHODS: After IRB approval, a retrospective cohort study was performed spanning 2011 through 2015...
July 2016: Journal of Pediatric Surgery
Soyhan Bagci, Erwin Brosens, Dick Tibboel, Annelies De Klein, Hanneke Ijsselstijn, Charlotte H W Wijers, Nel Roeleveld, Ivo de Blaauw, Paul M Broens, Iris A L M van Rooij, Alice Hölscher, Thomas M Boemers, Marcus Pauly, Oliver J Münsterer, Eberhard Schmiedeke, Mattias Schäfer, Benno E Ure, Martin Lacher, Vera Choinitzki, Johannes Schumacher, Nadine Zwink, Ekkehart Jenetzky, David Katzer, Joerg Arand, Peter Bartmann, Heiko M Reutter
UNLABELLED: The purpose of our study was to investigate the importance of amniotic fluid (AF) for fetal growth during late gestation using esophageal atresia (EA) patients as a model. In this retrospective cohort study, we compared the z-scores adapted for birth weights (BW z-scores) for each of 517 European newborns with congenital pre-gastric intestinal atresia, i.e., EA, to a European reference population. To account for the influence of the intestinal atresia on fetal growth per se, we compared adapted birth weights for each of 504 European newborns with post colonic intestinal atresia (anorectal malformation (ARM) with atresia of the anus) to the same European reference population...
June 2016: European Journal of Pediatrics
Hidehiko Maruyama, Takeshi Inagaki, Yusei Nakata, Akane Kanazawa, Yuka Iwasaki, Kiyoshi Sasaki, Ryuhei Nagai, Hiromi Kinoshita, Jun Iwata, Kiyoshi Kikkawa
Introduction This report will discuss a case of minimally conjoined omphalopagus twins (MCOTs) with a body stalk anomaly (BSA). Case Report We experienced monochorionic diamniotic (MD) twins born at 31 weeks. One infant was suspicious of BSA before birth, and another infant was normal. But normal infant had anal atresia with small intestine which was inserted behind the umbilicus. Twins had very short common umbilicus and infant with BSA had intestinal conjunction, two appendixes at the site of the colon, and a blind-ending colon...
October 2015: American Journal of Perinatology Reports
Amr Abdelhamid AbouZeid, Ahmed Medhat Zaki, Hesham Soliman Safoury
BACKGROUND: The colon may be used to replace a portion of the esophagus in pediatric patients, but prevention of gastrocolic reflux is a concern. We report our experience with the retrosternal colon bypass, and the effect of combining the procedure with a posterior cologastric anastomosis on prevention of gastrocolic reflux. METHODS: The study included 35 consecutive pediatric patients who underwent retrosternal colon bypass during the period of 2010 through 2014...
January 2016: Annals of Thoracic Surgery
Jingli Yang, Zhengli Wang, Jinxing Feng, Qing Ai, Luquan Li, Yu He, Hongdong Li, Xiaoli Tang, Jialin Yu
BACKGROUND: Necrotizing enterocolitis (NEC) is the most common gastrointestinal emergency in newborns. However, the pathogenesis of NEC remains unclear because most bacterial characterizations of alleged pathogens have been performed via the analysis of human fecal samples and experimental animal studies. The objective is to investigate the microbial composition of NEC using inflamed intestinal tissue surgically removed from neonates diagnosed with NEC (n = 18). METHODS: We obtained intestinal tissues via a combination of laser capture microdissection and Gram staining, which was used to mark individual bacteria...
October 2015: Pediatric Infectious Disease Journal
Vishal V Punwani, Eugene Ong, Michael W Hii
A 47-year-old woman presented to a tertiary emergency department with an 8-day history of odynophagia, a 4 cm swelling on her left neck and intermittent fevers. Shortly following her birth, a congenital oesophageal atresia had been managed surgically with colonic interposition graft. Contrast CT of the neck demonstrated several large diverticula within her interposition graft at the level of the cervical vertebrae. A colocutaneous fistula was identified between the colon and left neck, with an associated abscess...
2015: BMJ Case Reports
Tatsuma Sakaguchi, Yoshinori Hamada, Kouji Masumoto, Tomoaki Taguchi
PURPOSE: To clarify the status of segmental dilatation of the intestine (SD) using a nationwide retrospective cohort survey. METHODS: Supported by the Ministry of Health, Labour and Welfare in Japan, preliminary questionnaires requesting the numbers of SD cases from 2000 to 2009 were sent to 161 Japanese major institutes of pediatric surgery and gastroenterology. We present the results of our analysis of the data from secondary questionnaires. RESULTS: Twenty-eight cases of SD were reported, including 19 males and 9 females...
November 2015: Pediatric Surgery International
Ireneusz Haponiuk, Maciej Chojnicki, Radosław Jaworski, Mariusz Steffens, Aneta Szofer-Sendrowska, Konrad Paczkowski, Ewelina Kwaśniak, Jacek Zieliński, Katarzyna Gierat-Haponiuk, Katarzyna Leszczyńska
INTRODUCTION: An individually designed strategy of comprehensive alternative hybrid and staged interventional treatment (AHASIT) can be a reasonable alternative to conventional treatment of congenital heart defects, reduce the risk of cardiac surgery or interventions performed separately, and give an additional chance for critically ill children. AIM: To present our experience and the results of AHASIT of severely ill or borderline children referred for surgery with the diagnosis of congenital heart defects...
July 2015: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Zachary Bauman, Victor Nanagas
We encountered a rare case of gastroschisis associated with jejunal atresia and colonic atresia. In our case, the jejunal atresia was not discovered for 27 days after the initial abdominal wall closure. The colonic atresia was not discovered for 48 days after initial repair of the gastroschisis secondary to the rarity of the disorder. Both types of atresia were repaired with primary hand-sewn anastomoses. Other than the prolonged parenteral nutrition and hyperbilirubinemia, our patient did very well throughout his hospital course...
2015: Case Reports in Pediatrics
Pankaj Halder, Rajarshi Kumar, Madhumita Mukhopadhyay, Kartik Chandra Mandal, Biswanath Mukhopadhyay
Colonic atresia is the rarest entity among the all intestinal atresias and may be associated with anterior abdominal wall defect, small intestinal atresia, Hirschsprung's disease, and other anomalies. Here, we are reporting a case of colonic atresia associated with annular pancreas, which has not been reported previously to the best of our knowledge.
July 2015: Journal of Indian Association of Pediatric Surgeons
Antonio Heliodoro Chávez-Aguilar, Héctor Silva-Báez, Yamid Brajin Sánchez-Rodríguez, Carlos Esparza-Ponce, Miguel Ángel Zatarain-Ontiveros, Juan Carlos Barrera de León
OBJECTIVE: To describe the early complications of esophageal replacement with colon in children. METHODS: Descriptive cross-sectional study from 2005 to 2011 in pediatric patients diagnosed with alkali intake, esophageal atresia or esophageal injury traumatic esophageal replacement handled via retrosternal colon. Descriptive statistical analysis using SPSS 20.0. RESULTS: We included 19 esophageal replacements, age seven (4-15), 13 (68%) male and six (31%) female...
May 2015: Gaceta Médica de México
Sarin Yk, Raj P, Thakkar N
BACKGROUND: The purpose of this study is to review the cases of total colonic aganglionosis seen in the span of ten years at a pediatric surgery unit of a tertiary care public hospital in New Delhi. METHODS: Medical records of twelve patients with total colonic aganglionosis were retrieved. RESULTS: Ten out of the twelve patients were males; seven were of the Muslim community. Average recorded birth weight was 2.2 kg. Ten patients presented with features of intestinal obstruction, while two presented with perforation peritonitis...
July 2014: Journal of Neonatal Surgery
Sundeep Kisku, Lilly Varghese, Aruna Kekre, Sudipta Sen, Sampath Karl, John Mathai, Reju Joseph Thomas, Ravi Kishore
INTRODUCTION AND HYPOTHESIS: Absence of a vagina owing to congenital Mullerian defects or other acquired causes requires reconstruction of the female genital passage. We present our experience using various bowel segments. METHODS: Bowel vaginoplasty was performed in 55 patients from January 2004 through May 2014 for cervicovaginal atresia (20), Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome (20), distal vaginal atresia (8), cloaca (2), cervical atresia (1), complex urogenital sinus (1), transverse vaginal septum (1), rhabdomyosarcoma of the vagina (1), and traumatic stricture of the vagina (1)...
October 2015: International Urogynecology Journal
Diana N Diaz, Kambiz Eftekhari
Atresia of the colon is a rare anomaly with an incidence of between 1:20,000 and 1:66,000 live births being reported. Hirschsprung's disease association with Colonic atresia is usually diagnosed after several failures of intestinal anastomoses. We herein report one of the first patients in the literature diagnosed before a therapeutic challenge. A 2-day-old female was admitted with severe abdominal distention, bilious vomiting and failure to pass meconium. A distended abdomen accompanied by hypoactive bowel sounds was also observed...
May 2015: Archives of Iranian Medicine
Beatrice Dionigi, Sigrid Bairdain, Charles Jason Smithers, Russell W Jennings, Thomas E Hamilton
The Foker process is a method of esophageal lengthening through axial tension-induced growth, allowing for subsequent primary reconstruction of the esophagus in esophageal atresia (EA). In this unique case, the Foker process was used to grow the remaining esophageal segment long enough to attain esophageal continuity following failed colonic interpositions for long-gap esophageal atresia (LGEA). Initially developed for the treatment of LGEA in neonates, this case demonstrates that (i) an active esophageal lengthening response may still be present beyond the neonate time-period; and, (ii) the Foker process can be used to restore esophageal continuity following a failed colonic interposition if the lower esophageal segment is still present...
2015: Journal of Surgical Case Reports
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