Modified Gut Anastomotic Technique in Type III and Type IV Jejunoileal Atresias

Abstract

Background: Type III and IV jejunoileal atresias are associated with loss of significant length of the gut and can lead to short gut syndrome if further resection of proximal dilated gut is done. We modified the anastomotic technique so that proximal dilated segment of the gut is not resected as to prevent short gut syndrome. Material and Methods: Medical Record of patients of Type III and IV jejuno-ileal atresias managed with modified anastomotic technique in our center during 5-years was reviewed. Results: Fifteen patients were managed with our modified technique. There were no anastomotic leak observed and there was 6% mortality seen in our modified technique. Conclusion: We found less mortality and morbidity in our technique compared to recommended techniques described in literature.

Keywords

• Intestinal atresia
• Jejunoileal atresia
• Anastomosis
• Modification