T. Hasegawa et al., CONGENITAL MULTIPLE INTESTINAL ATRESIA SUCCESSFULLY TREATED WITH MULTIPLE ANASTOMOSES IN A PREMATURE NEONATE - REPORT OF A CASE, SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 26(10), 1996, pp. 849-851
We report herein the case of a 2080-g premature male infant born at 34
weeks' gestation with multiple intestinal atresia, for whom multiple
anastomoses were successfully performed, A total of 11 atresias were f
ound in the small bowel, and five anastomoses were performed to preser
ve 59cm of small bowel and the ileocecal valve. Postoperatively, he de
veloped several episodes of sepsis caused by persistent enterostasis,
but was able to be weaned from total parenteral nutrition (TPN) by pos
toperative day (POD) 106, Thus, multiple anastomoses may be the approp
riate procedure to prevent short-gut syndrome for congenital multiple
intestinal atresia, even in premature infants.