L'atresia dell'intestino: cosa è cambiato negli ultimi 30 anni.

Translated title of the contribution: Intestinal atresia: what is changed in the last 30 years

G. B. Parigi, S. Minniti, R. Bragheri, M. Ubertazzi, G. Verga

Research output: Contribution to journalArticle

Abstract

The changes occurred in the management of intestinal atresia in the last 30 years are presented. On the basis of a series of 55 neonates (29 M/26 F; 14 premature; mean body weight 2640 g, range 1340-4100 g; 23 duodenal, 30 small bowel, 2 colon) four aspects of this malformation are discussed; epidemiology, diagnostics, therapy and prognosis. Epidemiology. 40% incidence reduction is detected; unchanged the relative incidence of Down neonates with duodenal atresia. Diagnostics. Prenatal US scan useful in 4 of 8 cases only; emphasized the usefulness of plain X-ray abdomen. Perioperative treatment. Dramatic impact of the artificial nutrition on the management of short bowel syndrome, with 7 cases (residual small bowel from 75 to 9 cm, mean 40 cm) successfully treated. Surgical technique. Confirmed the validity of the one-stage termino-terminal anastomosis. Prognosis. Significant improvement in the last three decades respectively with 50%, 87% and 93% of long-term survivors. In the first decade 6 over 8 deaths were related to the atresia, while in the last 10 years the only death recorded was related to an associated severe cardiac malformation.

Translated title of the contributionIntestinal atresia: what is changed in the last 30 years
Original languageItalian
Pages (from-to)219-225
Number of pages7
JournalMinerva Pediatrica
Volume45
Issue number6
Publication statusPublished - Jun 1993

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Parigi, G. B., Minniti, S., Bragheri, R., Ubertazzi, M., & Verga, G. (1993). L'atresia dell'intestino: cosa è cambiato negli ultimi 30 anni. Minerva Pediatrica, 45(6), 219-225.