Study on Effect of Transanastomotic Jejunostomy Tube in the Surgery of Jejunoileal Atresia in Neonates
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 3
Abstract
Introduction: Jejunoileal atresia is one of the major causes of neonatal intestinal obstruction. Objective: To study the effect of transanastomotic jejunostomy tube in the surgery of neonatal jejunoieal atresia. Materials and Methods: Retrospective study was conducted over the statistical data available in the hospital for the period of 3 years. All cases had resection of the atretic segment and end to end anastomosis, with cheetle’s cut to the distal bowel. From the post operative data available from records, patients were categorised into two groups. Those with transanastomotic jejunostomy tube inserted and not inserted. Total 22 cases were included in the study. 14 cases underwent resection anastomosis with transanastomotic jejunostomy tube. 8 cases underwent resection anastomosis without transanastomotic jejunostomy tube. Post operative clinical course evaluation includes, duration of hospital stay, incidence of complications like anastomotic leak, anastomotic stricture/intestinal obstruction, incidence of relaparotomy, incidence of mortality are evaluated and compared. Result: In the group with transanastomotic tube, 2 cases had post operative complications; whereas the other group 4 cases had post operative complications Conclusion: Our study also shows that resection and end to end anastomosis in jejunoileal atresia , with insitu transanastomotic jejunostomy tube is better than, those without transanastomotic jejunostomy tube.
Authors and Affiliations
Dr. Nirmal Bhaskar
Keywords
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