Advertisement

Apple-peel intestinal atresia: Enteroplasty for intestinal lengthening and primary anastomosis

      Abstract

      Apple-peel atresia (or Type-IIIb intestinal atresia) is an unusual type of jejunoileal atresia. They present with jejunal atresia near the ligament of Treitz and a foreshortened small bowel. Many surgical options have been used, but the optimal method of repair remains unclear. We present a case of a newborn with apple-peel intestinal atresia managed by enteroplasty for intestinal lengthening and primary anastomosis.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • De Lorimier A.A.
        • Norman D.A.
        • Gooding C.A.
        • et al.
        A model for cinefluoroscopic and manometric study of chronic intestinal obstruction.
        J Pediatr Surg. 1973; 8: 758-791
        • Grosfeld J.L.
        Jejunoileal atresia and stenosis.
        in: O´Neill Jr., J.A. Rowe M.I. Grosfeld J.L. Fonkalsrud E.W. Coran A.G. Pediatric surgery. 5 th ed. Missouri Mosby-Year Book, St Louis1998: 1145-1158
        • Benson C.D.
        Resection and primary anastomosis of the jejunum and ileum in the newborn.
        Ann Surg. 1955; 142: 478-485
        • Thomas Jr., C.D.
        Jejunoplasty for the correction of jejunal atresia.
        Sur Gynecol Obstrect. 1969; 129: 545-546
        • De Lorimier A.A.
        • Harrison M.R.
        J Intestinal plication in the treatment of atresia.
        J Pediatr Surg. 1983; 18: 734-737
        • Weitzman J.J.
        • Vanderhoof R.S.
        Jejunal atresia with agenesis of the dorsal mesentery with “Christmas tree” deformity of the small intestine.
        Am J Surg. 1966; 11: 443-449
        • Waldhausen J.H.T.
        • Sawain R.
        Improved long-term outcome for patients with jejunoileal apple peel atresia.
        J Pediatr Surg. 1997; 32: 1308-1309
        • Kate J.T.
        A method of suturing in operations for congenital oesophageal atresia.
        Arch Chir Neerl. 1952; 4: 43-47
        • Gough M.H.
        Esophageal atresia – Use of an anterior flap in the difficult anastomosis.
        J Pediatr Surg. 1980; 15: 310-311
        • Kim H.B.
        • Fauza D.
        • Garza J.
        Serial transverse enteroplasty (STEP): a novel bowel lenghtening procedure.
        J Pediatr Surg. 2003; 38: 425-429
        • Kim H.B.
        • Lee P.W.
        • Garza J.
        Serial transverse enteroplasty for short bowel syndrome: a case report.
        J Pediatr Surg. 2003; 38: 881-885
        • Wales P.W.
        • Dutta S.
        Serial transverse enteroplasty for neonates with proximal jejuna atresia.
        J Pediatr Surg. 2005; 40: E31-E34
        • Ismael A.
        • Alkadhi A.
        • Alnagaar O.
        • et al.
        Serial transverse enteroplasty in intestinal atresia management.
        J Pediatr Surg. 2005; 40: E5-E6
        • Sheth N.P.
        Serial transverse enteroplasty.
        J Pediatr Surg. 2005; 40 ([author reply 1060]): 1060