Abstract

Aim: In patients with intestinal atresia, the disparity between the sizes of dilated proximal intestinal segment and distal intestinal segment causes functional obstruction after the surgical treatment. Seromuscular stripping and tapering technique has been described by Kızılcan and Tanyel to reduce the intestinal leakage risk at the placation site and to preserve intestinal absorbtion surface. We herein present our results of proximal jejunal atresia patients in whom seromuscular stripping and plication technique have been carried out.

Materials and methods: Between 1991-2007 years, the records of 11 newborns (7 female, 4 male) with proximal jejunal atresia whom underwent seromuscular stripping and tapering technique were studied retrospectively.

Results: The mean age of the patients were 35.4±3.4 weeks. According to Grosfeld classification, two patients were type I atresia, 4 were type II atresia and 5 were type III atresia. The per-and-postoperative periods of the patients were uneventful. Patients were started full feedings in about 12.7±1.8 days after the operation.

Conclusion: Seromuscular stripping and plication is a safe technique as preserving intestinal absorption surface without a risk of an intestinal leakage. This technique should be preferred for the treatment of proximal jejunal atresia since it can be easily performed and the patients started feedings earlier in the postoperative period.