Management of colonic atresia with primary resection and anastomosis.

Abstract:

PURPOSE:Historically, the majority of patients with colonic atresia have been managed by ostomy creation at the time of initial operation; conversely, we have tended to treat the atresia with resection and anastomosis. The purpose of this study is to determine the rate of concomitant Hirschsprung's disease and to identify potential morbidity associated with primary repair. METHODS:After IRB approval (#105825), charts of patients identified by ICD-9 code as having colonic atresia, who were admitted to our institution between 1993 and 2008 were, retrospectively, reviewed. Particular attention was paid to demographic data, comorbidities, operative therapy, and complications. Continuous variables were compared using an unpaired t test. A P value of <0.05 was considered significant. RESULTS:Twelve newborns with colonic atresia were identified. Two babies were managed initially with ostomy, both of whom had gastroschisis; primary repair was performed on ten, with two undergoing simultaneous rectal biopsy. No anastomotic complications occurred and there were no mortalities. One patient experienced self-limited malabsorption symptoms after repair. No cases of Hirschsprung's disease were detected. CONCLUSIONS:Uncomplicated colonic atresia can be managed by primary repair with little morbidity.

journal_name

Pediatr Surg Int

authors

Dassinger M,Jackson R,Smith S

doi

10.1007/s00383-009-2401-3

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

579-82

issue

7

eissn

0179-0358

issn

1437-9813

journal_volume

25

pub_type

杂志文章
  • Long-term outcomes and complications after laparoscopic-assisted anorectoplasty vs. posterior sagittal anorectoplasty for high- and intermediate-type anorectal malformation.

    abstract:PURPOSE:Laparoscopic-assisted anorectoplasty (LAARP) is a minimally invasive procedure in which the levator ani muscle is left to potentially improve postoperative fecal continence. This study aimed to retrospectively evaluate postoperative complications and long-term outcomes of fecal continence after LAARP and compar...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-018-4323-4

    authors: Tainaka T,Uchida H,Tanaka Y,Hinoki A,Shirota C,Sumida W,Yokota K,Makita S,Oshima K,Chiba K,Ishimaru T,Kawashima H

    更新日期:2018-10-01 00:00:00

  • T-cryptantigen (TCA) activation in surgical neonates: a hidden problem.

    abstract::The Thomsen-Friedenreich cryptantigen (TCA) is located on the surface of all red cells, but is concealed by a layer of neuraminic acid. When bacteria that produce neuraminidase disrupt this coating, the TCA can be exposed and activated. If blood products containing antibody to the TCA are subsequently administered, ha...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050488

    authors: Grant HW,Hadley GP,Adhikari M,Fernandes-Costa F

    更新日期:1998-12-01 00:00:00

  • Long-term results of treatment of single-system ectopic ureters.

    abstract::Single-system ureteral ectopia (UE) encompasses a spectrum of malformations involving the bladder trigone, ureter, and kidney. The clinical presentation is variable, and both diagnostic and therapeutic problems are common. Reduced renal function in these patients may result from primary dysplasia, obstruction, vesicou...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830000414

    authors: Wünsch L,Hübner U,Halsband H

    更新日期:2000-01-01 00:00:00

  • Management of gastrointestinal perforation from blunt and penetrating abdominal trauma in children: analysis of 96 patients.

    abstract:AIM:The objective of the present study was to evaluate the diagnostic methods, concomitant organ injuries, factors affecting mortality and morbidity, treatment methods, and outcomes of patients treated for traumatic gastrointestinal (GI) perforation. MATERIALS AND METHODS:We conducted a retrospective review of the med...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-016-3963-5

    authors: Arslan S,Okur MH,Arslan MS,Aydogdu B,Zeytun H,Basuguy E,Icer M,Goya C

    更新日期:2016-11-01 00:00:00

  • Urolithiasis in infants.

    abstract::There are few publications about urolithiasis of the new born baby and infant (UNI). The UNI represents 20% of the pediatric urolithiasis. The etiologies in this age group are chiefly dominated by the urinary-tract infections and metabolic abnormalities. The purpose of this paper was to investigate the epidemiological...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-007-1889-7

    authors: Mohamed J,Riadh M,Abdellatif N

    更新日期:2007-04-01 00:00:00

  • The influence of gastroschisis on plasmatic coagulation, humoral immunity, and C-reactive protein.

    abstract::Around the 30th week of gestation, patients with gastroschisis (GS) develop chronic inflammatory reactions on the serosal surface of the eventrated loops of intestine that lead to severe hyperfibrinogenemia and hypercoagulability, particularly if they are born prematurely. This result was found on comparison of coagul...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/BF00183729

    authors: Limbach HG,Quinten A,Jesberger HJ,Karadiakkos N,Lipfert S

    更新日期:1996-03-01 00:00:00

  • The role of thymectomy in the treatment of juvenile myasthenia gravis: a systematic review.

    abstract:BACKGROUND:The role of thymectomy in the treatment of juvenile myasthenia gravis (JMG) is poorly defined. The objective of this systematic review was to evaluate the effect of thymectomy on survival, disease severity, and peri-operative complications for patients with JMG. METHODS:A search of MEDLINE, EMBASE, and the ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-017-4086-3

    authors: Madenci AL,Li GZ,Weil BR,Zurakowski D,Kang PB,Weldon CB

    更新日期:2017-06-01 00:00:00

  • Postoperative abdominal evisceration in children: possible risk factors.

    abstract::Postoperative abdominal evisceration may lead to high morbidity and mortality. The purpose of the present study was to determine possible risk factors, morbidity and mortality associated with abdominal evisceration in children. A total of 3,591 children underwent abdominal exploration in our clinic between 1983 and 20...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-006-1722-8

    authors: Ciğdem MK,Onen A,Otçu S,Duran H

    更新日期:2006-08-01 00:00:00

  • MACE or caecostomy button for idiopathic constipation in children: a comparison of complications and outcomes.

    abstract::The Malone antegrade enema (MACE) and the caecostomy button (CB) are two methods of achieving colonic lavage in constipated children with faecal soiling. We reviewed our experience with the MACE and CB, aiming to compare results, complications, and outcomes. Between June 1998 and August 2002, 37 children (15 boys) und...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-004-1220-9

    authors: Cascio S,Flett ME,De la Hunt M,Barrett AM,Jaffray B

    更新日期:2004-07-01 00:00:00

  • The role of nitric oxide in reflux nephropathy.

    abstract::Reflux nephropathy (RN) is recognized as a major cause of end-stage renal failure in children and young adults. Inhibition of nitric oxide (NO) exacerbates and enhanced production ameliorates tubulointerstitial fibrosis (TIF) in experimental obstructive uropathy. NO is synthesised by NO synthase (NOS), three distinct ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-002-0858-4

    authors: Chertin B,Rolle U,Farkas A,Puri P

    更新日期:2002-10-01 00:00:00

  • Pancreatic surgery for tumors in children and adolescents.

    abstract:PURPOSE:Pancreatic neoplasms are uncommon in children. This study sought to analyze the clinical and pathological features of surgically resected pancreatic tumors in children and discuss management strategies. METHODS:We conducted a retrospective review of patients ≤21 years with pancreatic neoplasms who underwent su...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-016-3925-y

    authors: Sacco Casamassima MG,Gause CD,Goldstein SD,Abdullah F,Meoded A,Lukish JR,Wolfgang CL,Cameron J,Hackam DJ,Hruban RH,Colombani PM

    更新日期:2016-08-01 00:00:00

  • Minimal invasive lung support via umbilical vein with a double-lumen cannula in a neonatal lamb model: a proof of principle.

    abstract:PURPOSE:Acute respiratory distress syndrome, with the need for invasive mechanical ventilation (MV) remains a major cause of neonatal mortality and morbidity. Although venovenous extracorporeal lung support (VV-ECLS) has become a standard of care procedure in neonatal patients with acute pulmonary failure there are no ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3815-8

    authors: Schmidt F,Kuebler J,Ganter M,Jack T,Meschenmoser L,Sasse M,Boehne M,Bertram H,Beerbaum P,Koeditz H

    更新日期:2016-01-01 00:00:00

  • Nanomedicine: a primer for surgeons.

    abstract::The advances in science have resulted in the emergence of nanotechnology, which deals with the design and use of tools and devices of size 1-100 nm. The application of nanotechnologies to medicine is thus termed nanomedicine. Significant research has been focused on this new and exciting field and this review article ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-012-3162-y

    authors: Wong KK,Liu XL

    更新日期:2012-10-01 00:00:00

  • Poor catch-up growth after proctocolectomy in pediatric patients with ulcerative colitis receiving prolonged steroid therapy.

    abstract:PURPOSE:The aim of the present study was to review the complications and growth after proctocolectomy and ileal J-pouch anal anastomosis (IPAA) in pediatric ulcerative colitis (UC) patients receiving prolonged steroid therapy. PATIENTS AND METHODS:We experienced 209 patients with UC who received IPAA between September...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-010-2577-6

    authors: Uchida K,Araki T,Inoue M,Otake K,Yoshiyama S,Koike Y,Matsushita K,Okita Y,Miki C,Kusunoki M

    更新日期:2010-04-01 00:00:00

  • Surgeon-performed bedside ultrasound to assess volume status: a feasibility study.

    abstract:PURPOSE:Rapid assessment of volume status in children is often difficult. The purpose of this study was to evaluate the feasibility of surgeon-performed ultrasound to assess volume status in patients with hypertrophic pyloric stenosis. METHODS:Ultrasounds were performed on admission and before operation. The diameters...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3798-5

    authors: Wyrick DL,Smith SD,Burford JM,Swearingen CJ,Dassinger MS

    更新日期:2015-12-01 00:00:00

  • Ovarian and multiple lymph nodes recurrence of acute lymphoblastic leukemia: a case report and review of literature.

    abstract::Ovarian involvement of acute lymphoblastic leukemia (ALL) without relapse in the bone marrow or other extramedullary site is rare. We report a case of ovarian relapse in a 13-year-old girl who was diagnosed with ALL at the age of 11. A complete remission was induced with the Children Cancer Group 1882 protocol for hig...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-008-2253-2

    authors: Kim JW,Cho MK,Kim CH,Kang WD,Kook H,Kim YH,Choi HS,Kim SM

    更新日期:2008-11-01 00:00:00

  • Meatal and corpus spongiosum advancement: a better technique for distal hypospadias repair.

    abstract:OBJECTIVE:Several procedures have been described for repair of distal hypospadias. However, these are not without any complications. Corpus spongiosum advancement is a new technique employed in our patients for distal hypospadias repair with excellent clinical outcome and no post-operative complications. PATIENTS AND ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-013-3292-x

    authors: Dutta HK

    更新日期:2013-06-01 00:00:00

  • Intestinal congenital/infantile fibrosarcoma: a new clinico-pathological entity?

    abstract::Congenital/infantile fibrosarcoma (IFS) is a relatively rare form of fibrosarcoma diagnosed at birth or during early years of life and that differs from its adult counterpart because of a more favorable behavior. IFS is also known as cellular congenital mesoblastic nephroma, when it affects the kidney and is often but...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3670-7

    authors: Berrebi D,Fournet JC,Boman F,Fabre M,Philippe-Chomette P,Branchereau S,Fréneaux P,Bouron-Dal Soglio D,Michon J,Peuchmaur M

    更新日期:2015-04-01 00:00:00

  • Feasibility of perineal sagittal approaches in patients without anorectal malformations.

    abstract::Perineal sagittal approaches (posterior sagittal anorectoplasty and anterior and posterior sagittal transanorectal approaches) allow complete anatomic exposure of the perineum and lower pelvis. Moreover, they reduce the risk of damaging important structures because the incision is led in the midline. Therefore, many s...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-004-1295-3

    authors: Pini Prato A,Martucciello G,Torre M,Jasonni V

    更新日期:2004-10-01 00:00:00

  • Can neoadjuvant chemotherapy reduce the surgical risks for localized neuroblastoma patients with image-defined risk factors at the time of diagnosis?

    abstract:PURPOSE:To date, no detailed study of the changes in the image-defined risk factors (IDRFs) after neoadjuvant chemotherapy has been performed. The aim of this study was to investigate the effect of chemotherapy on IDRFs for stage L2 neuroblastomas. METHODS:Fifteen stage L2 patients treated by neoadjuvant chemotherapy ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-016-3858-5

    authors: Yoneda A,Nishikawa M,Uehara S,Oue T,Usui N,Inoue M,Fukuzawa M,Okuyama H

    更新日期:2016-03-01 00:00:00

  • Decidual β-carotene-15,15'-oxygenase-1 and 2 (BCMO1,2) expression is increased in nitrofen model of congenital diaphragmatic hernia.

    abstract:BACKGROUND:Retinoids are essential for fetal and lung development. Beta-carotene(BC) is the main dietary retinoid source and beta-carotene-15,15'-oxygenase-1 and 2 (Bcmo1,2) is the primary enzyme generating retinoid from BC in adult mammalian tissues. Placenta has a major role in the retinol homeostasis in fetal life: ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-014-3621-8

    authors: Takahashi H,Kutasy B,Pes L,Paradisi F,Puri P

    更新日期:2015-01-01 00:00:00

  • Post-chemotherapy microscopic residual prostate rhabdomyosarcoma: long-term conservative follow-up.

    abstract::In spite of advances in the treatment of childhood bladder and prostate rhabdomyosarcoma (RMS), the ability to detect minimal residual disease correlates imperfectly with the ultimate outcome. We report the long-term follow-up of a child with microscopic residual RMS after chemotherapy. The correct interpretation of t...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830200017

    authors: Chertin B,Reinus C,Koulikov D,Rosenmann E,Farkas A,Chertin B

    更新日期:2002-01-01 00:00:00

  • Hypoxia-regulated gene expression in fetal wound regeneration and adult wound repair.

    abstract::Fetal skin wounds heal scarlessly while adult wounds scar. Fetal wound healing occurs in a physiologically hypoxic environment whereas in adult wound healing, cells have to acutely adapt to hypoxia caused by locally impaired blood supply. We examined the expression of hypoxia-inducible factor 1 (HIF-1), a potent trans...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050735

    authors: Scheid A,Wenger RH,Christina H,Camenisch I,Ferenc A,Stauffer UG,Gassmann M,Meuli M

    更新日期:2000-01-01 00:00:00

  • The vulnerable stomach in babies born with pure oesophageal atresia.

    abstract::Nine babies with pure oesophageal atresia were treated in our institution in the years 1979-1996. All received a feeding gastrostomy as their initial operation. After initiation of gastrostomy feeds seven (78%) developed gastric complications, including two posterior gastric perforations (one fatal). We propose that t...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050640

    authors: Kimble RM,Harding JE,Kolbe A

    更新日期:1999-01-01 00:00:00

  • Techniques available for the management of massive sacrococcygeal teratomas.

    abstract::An infant born in the 34th week of gestation weighing 5,355 g with a massive sacrococcygeal (SC) tumor was delivered by elective cesarean section. An ultrasonographic examination showed solid and cystic components in the tumor. Resection was successfully undertaken with insertion of a Nélaton catheter into the rectum ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830000451

    authors: Hase T,Kodama M,Kishida A,Shimadera S,Aotani H,Shimada M,Yamamoto Y,Noda Y,Okabe H

    更新日期:2001-03-01 00:00:00

  • Exploratory laparoscopy for recurrent right lower quadrant pain in a pediatric population.

    abstract::Recurrent or chronic abdominal pain can be a challenging problem when conventional diagnostic studies fail to identify the cause. It is estimated that up to one-third of children suffer from abdominal pain, and in this population recurrent pain can be even more challenging. Although recurrent right lower quadrant (RLQ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-005-1632-1

    authors: Kolts RL,Nelson RS,Park R,Heikenen J

    更新日期:2006-03-01 00:00:00

  • Implantable versus cuffed external central venous catheters for the management of children and adolescents with acute lymphoblastic leukaemia.

    abstract:PURPOSE:The aim of this study was to determine if there is a difference between complications for totally implantable central venous catheters (ports) and tunnelled external central venous catheters (external CVCs) that result in early removal of the central venous catheter (CVC) in children and adolescents with acute ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-012-3213-4

    authors: White AD,Othman D,Dawrant MJ,Sohrabi S,Young AL,Squire R

    更新日期:2012-12-01 00:00:00

  • Safety and efficacy of mucous fistula refeeding in low-birth-weight infants with enterostomies.

    abstract:PURPOSE:To investigate the safety and efficacy of mucous fistula refeeding (MFR) in low-birth-weight infants. METHODS:Between December 2006 and December 2018, medical records of low-birth-weight infants who underwent small bowel enterostomy formation in the neonatal period and subsequent stoma closure at our instituti...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-019-04533-x

    authors: Yabe K,Kouchi K,Takenouchi A,Matsuoka A,Korai T,Nakata C

    更新日期:2019-10-01 00:00:00

  • Unilateral spermatic vessel ligation in prepubertal rats decreases microvascular blood flow to ipsilateral testis postpubertally.

    abstract::High ligation of spermatic vessels (HLSV) and low ligation of spermatic vessels (LLSV) have been described in the surgical treatment of high undescended testis. Testicular capillary blood flow utilizing laser Doppler flowmetry after these maneuvers has not been studied thus far; hence, this study was designed. Thirty ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-003-1018-1

    authors: Srinivas M,Kilmartin B,Basham P,Puri P

    更新日期:2003-07-01 00:00:00

  • Congenital cystic adenomatoid malformation of the lung: indications and timing of surgery.

    abstract::We review a single surgeon and surgical centre's experience with congenital cystic adenomatoid malformation of the lung (CCAML) in relation to clinical spectrum, operative experience, and postoperative course. A retrospective hospital record review was done on surgically treated cases of CCAML over a 10-year period, f...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-004-1225-4

    authors: Khosa JK,Leong SL,Borzi PA

    更新日期:2004-07-01 00:00:00