The criteria for selecting of the method of anastomosis in infants with small bowel obstruction
https://doi.org/10.18705/2311-4495-2015-0-2-3-58-63
Abstract
Congenital small bowel obstruction is common causes of neonatal intestinal obstruction ((frequency 1:3000). Some authors prefer closed types of anastomoses. Others recommend T-shaped anastomosis or double enterostomy. Improve the results of surgical treatment of infants with small bowel obstruction, using different types of anastomoses in choosing ways to create an intestinal anastomosis. Analysis of 80 infants with small bowel obstruction, for the period from 2000 to 2014. Results: Primary anastomosis created in 47, deferred anastomosis in 33 cases. On patients with jejunum obstruction the end to end anastomosis is created in 4, Complications were found in all. T-shaped anastomosis was created in 11. Complications were found in three patients. On patients with obstruction of the ileum end to end anastomisis was created in 9, the stenosis of anastomosis was in 1 patient. T-shaped anastomosis was created in 9. No complications. In patients with T-shaped anastomosis parenteral nutrition was shorter. In patients with obstruction at the level of the jejunum the best method is T-shaped anastomosis. With obstruction at the level of the ileum we prefer - the closed types of anastomosis.
About the Authors
Surayo Azimkhonova Amidkhonova
Federal Almazov North-West Research Centre
Russian Federation
Russian Federation
Vladimir Gireevich Bairov
Federal Almazov North-West Research Centre
Russian Federation
Russian Federation
Natalya Adolfovna Schegoleva
Federal Almazov North-West Research Centre
Russian Federation
Russian Federation
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Review
For citations:
Amidkhonova S.A., Bairov V.G., Schegoleva N.A. The criteria for selecting of the method of anastomosis in infants with small bowel obstruction. Translational Medicine. 2015;(2-3):58-63. (In Russ.) https://doi.org/10.18705/2311-4495-2015-0-2-3-58-63
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