Small bowel atresias

Small bowel atresias

Small bowel atresias may be isolated ( Figure 18.5 ) or multiple. If seen without other anomalies, they are thought to have been caused by localised vascular events occurring after organogene sis. Rarely multiple intestinal atresias are seen with an immune Abraham Vater , 1684–1751, Professor of Anatomy and Botany , and later of Pathology and Therapeutics, Wittenberg, Germany . Ken Kimura , contemporary , paediatric surgeon, Kobe University , Kobe, Japan, and Iowa City , IA, USA. William E Ladd , 1880–1967, American surgeon, regarded as a founder of paediatric surgery . deficiency related to mutations of the tetratricopeptide gene (TTC7A). A segmental ileal volvulus can cause an atresia; thick meconium in cystic fibrosis is a risk factor. The upstream bowel dilates and becomes dysmotile, while the downstream bowel remains narrow; a primary anastomosis can accommodate up to a 5:1 discrepancy . Resection of the dilated portion is appro - priate if this does not sacrifice too much intestine. Otherwise, a temporary stoma and mucous fistula facilitate a staged repair.

B C D A A D C B (b) A D C B Figure 18.4 (a, b) Duodenal atresia and the incisions used to repair it: a diamond anastomosis is shown.

Small bowel atresias

Small bowel atresias may be isolated ( Figure 18.5 ) or multiple. If seen without other anomalies, they are thought to have been caused by localised vascular events occurring after organogene sis. Rarely multiple intestinal atresias are seen with an immune Abraham Vater , 1684–1751, Professor of Anatomy and Botany , and later of Pathology and Therapeutics, Wittenberg, Germany . Ken Kimura , contemporary , paediatric surgeon, Kobe University , Kobe, Japan, and Iowa City , IA, USA. William E Ladd , 1880–1967, American surgeon, regarded as a founder of paediatric surgery . deficiency related to mutations of the tetratricopeptide gene (TTC7A). A segmental ileal volvulus can cause an atresia; thick meconium in cystic fibrosis is a risk factor. The upstream bowel dilates and becomes dysmotile, while the downstream bowel remains narrow; a primary anastomosis can accommodate up to a 5:1 discrepancy . Resection of the dilated portion is appro - priate if this does not sacrifice too much intestine. Otherwise, a temporary stoma and mucous fistula facilitate a staged repair.

B C D A A D C B (b) A D C B Figure 18.4 (a, b) Duodenal atresia and the incisions used to repair it: a diamond anastomosis is shown.

Small bowel atresias

Small bowel atresias may be isolated ( Figure 18.5 ) or multiple. If seen without other anomalies, they are thought to have been caused by localised vascular events occurring after organogene sis. Rarely multiple intestinal atresias are seen with an immune Abraham Vater , 1684–1751, Professor of Anatomy and Botany , and later of Pathology and Therapeutics, Wittenberg, Germany . Ken Kimura , contemporary , paediatric surgeon, Kobe University , Kobe, Japan, and Iowa City , IA, USA. William E Ladd , 1880–1967, American surgeon, regarded as a founder of paediatric surgery . deficiency related to mutations of the tetratricopeptide gene (TTC7A). A segmental ileal volvulus can cause an atresia; thick meconium in cystic fibrosis is a risk factor. The upstream bowel dilates and becomes dysmotile, while the downstream bowel remains narrow; a primary anastomosis can accommodate up to a 5:1 discrepancy . Resection of the dilated portion is appro - priate if this does not sacrifice too much intestine. Otherwise, a temporary stoma and mucous fistula facilitate a staged repair.

B C D A A D C B (b) A D C B Figure 18.4 (a, b) Duodenal atresia and the incisions used to repair it: a diamond anastomosis is shown.