INTESTINAL ATRESIA

Intestinal atresia is a wide term used to portray a total or blockage in the intestine in the newborn or early childhood age. Malformation can be narrowing, absence or malrotation of a portion of intestine. Defects can either occur in the small or the large intestine.

CAUSES:

Specialists accept that intestinal atresia and stenosis are caused by a lacking gracefully of blood to your child’s intestines during fatal turn of events. They seem to run in families, although a particular hereditary reason presently can’t seem to be found.

Diagnosis of intestinal atresia:

-Abdominal X-ray

-Abdominal ultrasound

-Lower gastrointestinal (GI) series

-Upper GI series

SYMPTOMS:

The small intestine varies length somewhere in the range of 10 and 28 feet, and is isolated into three primary areas: the duodenum, jejunum and ileum. Intestinal obstructions are generally classified by where in your kid’s intestine the nonattendance, blockage or narrowing is found. Obstruction in the duodenum is known as duodenal atresia/stenosis and obstacles in the jejunum or the ileum are both called jejunoileal atresia/stenosis. 

Jejunal block may accompany intestinal malrotation, hernia or abdominal wall choke the small intestine, interrupting the blood supply. About portion of all newborn children with duodenal impediment are conceived rashly, and in excess of 30 percent have down condition. Somewhere in the range of 50 and 75 percent have different inconsistencies, which regularly influence different pieces of the digestive system, the heart or the kidneys. 

On the off chance that your child has an intestinal obstruction, it will usually be found inside a day or two of his birth. You or your primary care physicians may see that your baby 

  1. Inability to tolerate feedings
  2. Having recurrent vomitings 
  3. Bloating of the abdomain 

How common is it?

Intestinal atresia happens between one out of 1,000 and 5,000 live births. The main treatment is surgery, regardless of where the atresia is found. Your infant will stay in the emergency clinic for a little while the inside recuperates and capacity is reestablished.

TREATMENT:

Children with intestinal atresia and stenosis require an operation, and the kind of operation varies depending on the where obstruction is located.

Prior to the operation, all children must be stabilised. The excess intestinal contents and gas that adds to abdominal swelling (enlargement) is removed through a tube which is placed into the stomach through the mouth or nose. 

Removing air and liquid from the intestinal tract can prevent vomiting and aspiration, and diminish the risk of bowel perforation. It additionally gives babies some comfort as abdominal swelling is reduced. Intravenous liquids are given to replace vital electrolytes (minerals and salts in the circulatory system and body) and liquid that is lost through vomiting. When the child is settled, surgery is performed to fix the obstruction. The surgery is performed by open conventional surgery which might required removal of affected small part of the bowel. 

Result:

While most children who have had surgical repair of their small bowel will live a healthy life, only some cases can have complications. Complications of intestinal atresia are not frequent yet may include bowel management, feeding or a blockage of the intestines later in the life because of scar tissue. A few children may have a short bowel syndrome especially after surgical resection. Short bowel syndrome is a condition that makes it difficult for supplements to be consumed on the grounds that the small intestine isn’t working appropriately. For the vast majority, short bowel syndrome is treated with changes in diet and drug.

Consult the best team of Paediatric, General and Gastrointestinal surgeons available at The Surgeons House (SHL) in different global locations, please check the link for more details.

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