J Korean Surg Soc.  1997 Jun;52(6):918-923.

A Successful Treatment of Ileal Atresia in A 1200 g Premature Neonate

• Seo JH
• Han SJ
• Hwang EH

Abstract

The ileal atresia has been commonly accepted to be caused by a vascular accident during early intrauterine period. Thanks to the development of anesthesia, surgical techniques, postoperative supportive treatment and the hyperalimentation technique, the motality rate of this disease has been decreased. In spite of these developments, premature and very low birth weight babies should be given more attention because they still have a high motality rate. The authors report a successful treatment of ileal atresia in a 1,200g premature female infant. The proximal distended and hypertrophied intestine was resected. The distal small bowel was transected using a oblique line to create a fish-mouth. An end to end anastomosis was performed. We gave postoperative care, such as incubator care, fluid therapy, gastric decomprssion and total parenteral nutrition(TPN). TPN was initiated on postoperative one day. Calories were increased from 60cal/kg to 90cal/kg. TPN was stopped on the postoperative 24 day when the patient tolerated full strength milk feeding. Eighteen months postoperatively, she is healthy and her weight is 9.0kg(9 percentile).

Keyword

Ileal atresia; Prematurity; Very low birth weight

MeSH Terms

Anesthesia
Female
Fluid Therapy
Humans
Incubators
Infant
Infant, Newborn*
Infant, Very Low Birth Weight
Intestines
Milk
Postoperative Care