| 摘要 |
Gastroschisis with concomitant intestinal atresia is a complex problem. Atresic
intestine has been treated by primary anastomosis, initial exteriorization, or by placing the atretic bowel into the abdomen with a later anastomosis. However, controversy still exists over the best method of treatment. A 2670gm baby boy with gastroschisis complicated by jejunal atresia and stenosis of the sigmoid received jejunostomy and primary closure of the abdominal wall
an initial procedure. On his 21st day of life, jejunal anastomosis and resection of the stenotic segment of colon with anastomosis was performed . The baby was
discharged a month later with weight gain, and is doing well at 5 years of age. Our experience demonstrates that an initial exteriorization of the extremely dilated proximal intestine can lead to thorough decompression and greatly reduce
caliber of proximal bowel to facilitate a later anastomosis. During later
exploration, the previously matted mass of intestine appeared nearly normal;
therefore, the distal colon stenosis was more obvious and could be managed
appropriately. |
