World J Surg. May-Jun;17(3) Diagnosis and treatment of jejunoileal atresia. Touloukian RJ(1). Author information: (1)Department of Surgery, Yale. Jejunoileal atresias and stenoses are major causes of neonatal intestinal obstruction. Atresia—derived from the Greek components a- . Jejunal Atresia is a rare genetic disorder. Patients with this disorder are born with a partial absence of the fold of the stomach membrane that connects the small.
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So, atresia means no orifice or hole to channel out.
Jejunoileal comes from the name of one of our intestinal parts, and that is jejunum. So totally, it is a congenital obstruction of the intestinal lumen or jejunum.
Our small intestine is segmented into three parts.
Intestinal Atresia and Stenosis | Treatment, Diagnosis, and Outlook
They are named duodenum, jejunum and ileum. In case of jejunoileal atresia, there is an obstruction found mostly in jejumoileal and even in ileum as well. It is found 1 out of newborns till now have a chance of having jejunoileal atresia, and is jejunileal than the duodenal atresia. There are signs by which a new born can be identified with this rare condition of jejunoileal atresia. It is normally found that unlike other newborns, a newborn with jejunoileal atresia vomits green bile within a day of its birth.
There are four types atresia found for this disease of jejunoileal atresia. Each type of atresia occurs due to different causes.
Intestinal Atresia and Stenosis
The intestinal obstruction, especially the rare jejunoileal atresia occurs because of the membrane which attaches the small intestine to the abdominal wall of a new born. Jejunum, a portion of the small intestine twists around an artery that leads to atresia or intestinal blockage.
If a clinician or doctor wants to check the family history, then it must be noted that jejunoileal atresia may occur without a family history.
Types of intestinal obstructions are found by using the technique of prenatal jejunoipeal. This ultrasound imaging technique indicates the level of amniotic fluid. If jejunoilewl is an excess of amniotic fluid found in ultrasound, then there is a chance of intestinal atresia. An intestinal failure of absorbing amniotic fluid results in excess of this fluid and is found by the ultrasound imaging technique.
If a new born is under suspect of intestinal obstruction or intestinal atresia, then the new born must go through the following diagnostic processes:. Surgery is performed in most of the cases of jejunoileal atresia, but it depends upon the types of the intestinal atresia. The operations are mostly focused on removal of the intestinal blind end sections. The remaining ends are then joined or sutured. The surgery is performed in the warmed room or operating room with proper care under general anaesthesia.
Prognosis or the long term outlook for patients with jejunoileal atresia solely depends upon how the functional bowel remains after the surgery. A patient with an inadequate length of bowel or lower GI track may develop short bowel syndrome at a later stage. As it is a rare disease and found in 1 out of new-borns, so you may not worry about your new-born.
However, it is better to be aware of it, especially about the signs and symptoms of the jejuunoileal atresia as that one single case could be for your new-born or of any near and dear ones.
Knowing the symptoms will help to make an early diagnosis and start the treatment or surgical procedures as soon as possible.
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