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Article: Implications of antenatal diagnosis of small-intestinal atresia in the 1990s

TitleImplications of antenatal diagnosis of small-intestinal atresia in the 1990s
Authors
Issue Date1999
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htm
Citation
Pediatric Surgery International, 1999, v. 15 n. 7, p. 486-487 How to Cite?
AbstractTo Assess The Prevalence Of Antenatal Diagnosis Of Small-Intestinal Atresias (Sia) In The Modern Era And Determine Its Effect On Management And Outcome, The Records Of Neonates Admitted To A Single Institution In 1991-1996 With A Diagnosis Of Sia Were Reviewed. Duodenal Atresia, Atresias Complicating Meconium Ileus, And Those Associated With Gastroschisis Were Excluded. Of 14 Neonates With Sia, 10 Had Jejunal Atresia (Ja) (Grosfeld Type I, N = 1; Type Ii, N = 2; Type Iiia, N = 3; Type Iiib [Apple Peel], N = 3; Type Iv, N = 1) And 4 Had Ileal Atresia (Ia) (Type Ii, N = 1; Type Iiia, N = 3). Antenatal Diagnosis Was Made In 4 Neonates (Overall Rate = 28%), Including All 3 Type Iiib Ja, And 1 Type Ii Ja. None Of The Ias Were Diagnosed Antenatally. There Were 2 Deaths, Both In Patients With High Jas With Less Than 10 Cm Viable Bowel. Only 1 Of These Was Antenatally Diagnosed. The Median (Range) Times To Full Enteral Feeding Were 20 Days (17-22) For Antenatally-Diagnosed Ja, 14 Days (11-26) For Other Jas, And 8 Days (6-15) For Ias. Antenatal Diagnosis Of Sia Thus Remains Relatively Infrequent (Less Than One-Third Of Cases). When An Antenatal Diagnosis Is Made, The Atresia Is More Likely To Be Proximal In Location, Requiring Intensive And Prolonged Postnatal Treatment. Provided A Reasonable Length Of Bowel Remains, The Outcome Of Sia, Whether Antenatally Diagnosed Or Not, Is Favorable.
Persistent Identifierhttp://hdl.handle.net/10722/83686
ISSN
2015 Impact Factor: 1.01
2015 SCImago Journal Rankings: 0.409
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTam, PKHen_HK
dc.contributor.authorNicholls, Gen_HK
dc.date.accessioned2010-09-06T08:43:59Z-
dc.date.available2010-09-06T08:43:59Z-
dc.date.issued1999en_HK
dc.identifier.citationPediatric Surgery International, 1999, v. 15 n. 7, p. 486-487en_US
dc.identifier.issn0179-0358en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83686-
dc.description.abstractTo Assess The Prevalence Of Antenatal Diagnosis Of Small-Intestinal Atresias (Sia) In The Modern Era And Determine Its Effect On Management And Outcome, The Records Of Neonates Admitted To A Single Institution In 1991-1996 With A Diagnosis Of Sia Were Reviewed. Duodenal Atresia, Atresias Complicating Meconium Ileus, And Those Associated With Gastroschisis Were Excluded. Of 14 Neonates With Sia, 10 Had Jejunal Atresia (Ja) (Grosfeld Type I, N = 1; Type Ii, N = 2; Type Iiia, N = 3; Type Iiib [Apple Peel], N = 3; Type Iv, N = 1) And 4 Had Ileal Atresia (Ia) (Type Ii, N = 1; Type Iiia, N = 3). Antenatal Diagnosis Was Made In 4 Neonates (Overall Rate = 28%), Including All 3 Type Iiib Ja, And 1 Type Ii Ja. None Of The Ias Were Diagnosed Antenatally. There Were 2 Deaths, Both In Patients With High Jas With Less Than 10 Cm Viable Bowel. Only 1 Of These Was Antenatally Diagnosed. The Median (Range) Times To Full Enteral Feeding Were 20 Days (17-22) For Antenatally-Diagnosed Ja, 14 Days (11-26) For Other Jas, And 8 Days (6-15) For Ias. Antenatal Diagnosis Of Sia Thus Remains Relatively Infrequent (Less Than One-Third Of Cases). When An Antenatal Diagnosis Is Made, The Atresia Is More Likely To Be Proximal In Location, Requiring Intensive And Prolonged Postnatal Treatment. Provided A Reasonable Length Of Bowel Remains, The Outcome Of Sia, Whether Antenatally Diagnosed Or Not, Is Favorable.en_US
dc.languageengen_HK
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00383/index.htmen_HK
dc.relation.ispartofPediatric Surgery Internationalen_HK
dc.titleImplications of antenatal diagnosis of small-intestinal atresia in the 1990sen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0179-0358&volume=15&spage=486&epage=487&date=1999&atitle=Implications+of+antenatal+diagnosis+of+small-intestinal+atresia+in+the+1990sen_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s003830050645en_US
dc.identifier.pmid10525905-
dc.identifier.scopuseid_2-s2.0-0032878203en_US
dc.identifier.hkuros47287en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0032878203&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume15en_US
dc.identifier.issue7en_US
dc.identifier.spage486en_US
dc.identifier.epage487en_US
dc.identifier.isiWOS:000082909100011-

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