Is the Bishop-Koop anastomosis still modern in the treatment of newborn ileus?

Fourty-three cases of ileus in newborns are presented. Twenty-seven newborn s received a Bishop-Koop anastomosis. In 19 cases, the Bishop-Koop anastomo sis was performed primarily and in 8 cases as a second intervention. We con sider the Bishop-Koop anastomosis to be a safer procedure than primary end- to-end or end-to-side anastomosis. Only one anastomotic leak occured in our patients. We prefer the Bishop-Koop anastomosis not only in cases of mecon ium ileus, but also in other types of intestinal atresia and stenosis, espe cially for the management of greatly different intestinal diameters. In our experience, this method is also suitable for re-anastomosing a double-barr el anastomosis. The Bishop-Koop procedure minimizes the risks of primary an astomosis without enterostoma, and later extraperitoneal closure of the sto ma is easy and safe.