Duodenal derotation and extent tapering jejunoplasty as primary repair for neonates with high jejunal atresia

Chih Cheng Luo, Yung Ching Ming, Hsun Chin Chao, Shih Ming Chu

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background The dilated bowel segment usually involves the entire jejunum, as well as the duodenum in patients with high jejunal atresia. Classical approaches with a limited tapering enteroplasty and anastomosis frequently fail to restore intestinal function. A novel technique using duodenal derotation and extent tapering jejunoplasty (DDETJ) is reported here. Methods Infants with high jejunal atresia within 10 cm of the ligament of Treitz treated with DDETJ over a 3-year period were reviewed. The entire dilated duodenum and jejunum were visualized after duodenal derotation. A longitudinal extensive tapering resection of dilated bowel with Endo GIA stapler was performed to fashion as a tube and anastomosed to the distal jejunum. Results Five female infants underwent this procedure over a 3-year period. Four infants underwent primary DDETJ, while one with associated multiple atresias had previously undergone limited tapering jejunoplasty, but was unable to tolerate oral feeding. DDETJ was performed 4 weeks later. There were no postoperative complications, and all patients tolerated feeding within 14 days. Follow-up lasted from 2 to 18 months. Conclusion In very proximal high atresia, the extent of tapering is limited by the proximity of the ligament of Treitz. Duodenal derotation provides better access to the high atresia. The results of this limited experience suggest that the DDETJ procedure could provide an alternative therapy in patients with high jejunal atresia.

Original languageEnglish
Pages (from-to)269-272
Number of pages4
JournalPediatrics and Neonatology
Volume51
Issue number5
DOIs
Publication statusPublished - 2010
Externally publishedYes

Fingerprint

Intestinal Atresia
Jejunum
Newborn Infant
Duodenum
Ligaments
Complementary Therapies

Keywords

  • Duodenal derotation
  • Extent tapering jejunoplasty
  • High jejunal atresia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Duodenal derotation and extent tapering jejunoplasty as primary repair for neonates with high jejunal atresia. / Luo, Chih Cheng; Ming, Yung Ching; Chao, Hsun Chin; Chu, Shih Ming.

In: Pediatrics and Neonatology, Vol. 51, No. 5, 2010, p. 269-272.

Research output: Contribution to journalArticle

Luo, Chih Cheng ; Ming, Yung Ching ; Chao, Hsun Chin ; Chu, Shih Ming. / Duodenal derotation and extent tapering jejunoplasty as primary repair for neonates with high jejunal atresia. In: Pediatrics and Neonatology. 2010 ; Vol. 51, No. 5. pp. 269-272.
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