Intestinal atresia: an end-to-end linear anastomotic technique |
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Authors: | V K Patil B K Kulkarni A Jiwane P Kothari S Poul |
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Institution: | (1) Vijay Clinic, Sholapur, India, IN;(2) Department of Paediatric Surgery, L.T.M.M. College and L.T.M.G. Hospital, Sion, Mumbai-400022, India, IN |
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Abstract: | In a series of 19 neonates with small-bowel atresia, 16 were treated by end-to-end linear anastomosis (ELA) without resection
and 3 by resection anastomosis (RA). Seven atresias were jejunal, 11 were ileal, and 1␣jejunoileal; 3 cases were type II,
12 type IIIa, 3 type IIIb, and 1 type IV. There were 4 deaths, 1 after ELA and 3 after RA. The overall mortality decreased
from 68 to 20.80% and for linear anastamosis to 6.25% presumably, because the intestinal contents are propelled along the
lumen in a linear fashion and not at an angle as in end-to-back anastamosis, avoiding shearing of the suture line. The additional
plicating sutures reduce the radius and increase the propelling force. We recommend this technique because it is based on
sound principles of physics and preserves the entire available length of intestine.
Accepted: 8 January 2001 |
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Keywords: | Intestinal atresia End-to-end linear anastomosis Resection anastomosis |
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