GI atresia Latest Topics

4/1/2026

Sun, 04 Jan 2026 15:59:16 +0000

[size=6]A 36-week gestational age baby was found to have intestinal atresia as pictured below. There is proximal jejunal atresia and approximately 60 cm of distal small intestine with an intact ileocecal valve. The most appropriate surgical management is:

a End-side anastomosis

b Delayed primary anastomosis

c Proximal jejunostomy

d Functional end-end anastomosis[/size]

19/10/2025

Sun, 19 Oct 2025 13:32:11 +0000

[size=6]A 2-day-old infant is in the newborn nursery with persistent nonbilious emesis and intolerance of feeds. A chest radiograph was obtained which is shown below. Based upon this imaging an upper GI study was obtained showing no progression of contrast beyond the stomach after 1 hour (below). What is the most commonly reported condition associated with this diagnosis?

a Ventricular septal defect

b Vertebral anomalies

c Renal agenesis

d Epidermolysis bullosa

e Intestinal atresia[/size]

28/9/2025

Sun, 28 Sep 2025 11:53:09 +0000

[size=6]You explore a 3.6 kg, 36 week old male infant with concern for intestinal atresia. At the time of the operation, you discover a Type IIIb jejunal atresia as noted in the below picture. There is only 30 cm of well-perfused bowel proximal dilated bowel prior to the atretic segment. This proximal bowel is dilated up to 5 cm from the ligament of Treitz. The most appropriate management of the dilated proximal bowel is:

a Resect the dilated bowel

b Perform end jejunostomy

c Perform a tapering enteroplasty followed by anastomosis

d Leave the child in discontinuity and manage with TPN

e Perform a neonatal STEP procedure[/size]

Status of proximal intestine to site of small bowel atresia

Sat, 09 Aug 2025 12:01:35 +0000

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -

"The ischaemic insult also adversely influences the structure and subsequent function of the remaining bowel. Histological and histochemical abnormalities can be observed up to 20 cm cephalad from the end of the atretic proximal segment. The distal bowel is unused and potentially normal in function."

Exclude associated atresia during intestinal primary atresia repair

Wed, 13 Aug 2025 11:54:08 +0000

ileal atresia open repair

Fri, 29 Oct 2021 05:00:20 +0000

see video link in second post

Proximal jejunum atresia case gallery

Sun, 19 May 2024 13:49:12 +0000

CBCLIPS Episode 26

Mon, 20 Dec 2021 19:23:58 +0000

A 1-day old baby girl, born at 35 weeks of gestation, presents with bilious emesis. The abdomen is soft and not distended. Plain abdominal films and a contrast enema are shown. At exploration, you find Type IIIA jejunal atresia with 15 cm of jejunum (3 cm in diameter) and 4 cm of ileum. What operation will you perform?

CBCLIPS Episode 30

Mon, 20 Dec 2021 18:53:31 +0000

A term baby girl presents with a neonatal bowel obstruction soon after birth. Dilated, echogenic bowel was seen on Ultrasound at 32 weeks gestation. Both parents are carriers of the cystic fibrosis gene. Her abdominal films and contrast enema are shown. During the contrast enema, the radiologist did not attempt to reflux the contrast into the distended bowel loops. How would you manage this patient?

CBCLIPS Episode 42

Sat, 02 Sep 2023 12:22:09 +0000

A female fetus is followed for a dilated, hyperperistaltic bowel loop persistent until birth. Films at 4 & 10 hours of life are shown. The baby has a normal exam, but she vomits bile after first feeding. Contrast enema and UGI performed simultaneously are read as normal. What would you do next?

ileal atresia repair

Fri, 07 Oct 2022 05:52:42 +0000

see video link in second post

jejunoileal atresia

Sun, 11 Oct 2020 11:31:34 +0000

Any one want a high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message

Edit: available without restrictions

Laparoscopic Newborn Jejunal Atresia Repair

Sat, 21 Aug 2021 08:09:03 +0000

see video link in second post

Laparoscopic repair of jejunal atresia

Thu, 03 Jun 2021 05:43:40 +0000

see video link in second post

Intestinal Atresia

Mon, 15 Mar 2021 07:59:38 +0000

see in next post

In management of proximal dilated bowel in atresia (in preparation to do anastomoses)

Tue, 16 Feb 2021 09:38:18 +0000

In the work up of neonatal intestinal atresia

Tue, 16 Feb 2021 07:24:13 +0000

Jejunal atresia

Sun, 29 Nov 2020 07:28:37 +0000

[size=20px]Which of the following is not true about jejunal atresia?

A It is considered to be due to an in utero ischaemic insult.

B It comprises approximately 50% of small-bowel atresia.

C It can be associated with other jejunal and ileal atresia.

D Contrast study is seldom required.

E It is usually associated with multiple anomalies.[/size]

neonate with bilious vomiting

Thu, 22 Oct 2020 15:03:08 +0000

First one with correct answer with justification win.

At day of life one, a 39 week gestational age healthy baby presents with abdominal distention and vomiting after two feeding attempts. The emesis is green tinged. An abdominal radiograph and lower intestinal contrast study are obtained as shown.

[center]

[/center]

[size=20px]Operative management of this patient with bilious vomiting must include

A rectal biopsy.

B diverting ostomy.

C intestinal resection and primary anastomosis.

D appendectomy.

E Ladd procedure.[/size]

a complicated intestinal atresia

Tue, 27 Oct 2020 06:14:35 +0000

First one with correct answer with justification win.

A one-day old, 36-week gestation infant is admitted to the neonatal intensive care unit (NICU) with bilious vomiting and abdominal distention. On exam, the infant is fussy but in no acute distress and the abdomen is soft but distended. Abdominal films suggest a proximal jejunal obstruction consistent with a jejunal atresia.

[size=20px]At laparotomy, a proximal jejunal atresia with significant dilation is found. Distally there is loss of small bowel consistent with an in utero volvulus and a string of sausage (i.e. type IV) segments of atretic small bowel with each of five segments of bowel measuring between three and eight cm in length. There is a three cm segment of terminal ileum and the entire colon. The next best step in management of this patient with complicated intestinal atresia is

A close the abdomen and return to the NICU.

B resect atretic small bowel segments and perform end jejunostomy.

C resect small bowel segments, taper jejunum and perform jejunoileostomy.

D jejunostomy/mucus fistula and thread atretic segments over a stent.

E resect all dilated proximal jejunum with primary anastamosis to atretic segments.[/size]

intestinal atresia

Thu, 24 Sep 2020 11:09:16 +0000

Saudi pediatric Surgery board lectures, download from next post