العوامل المؤثرة في الإنذار عند المصابين بريق الصائم و الدقاق

الملخص EN

Objective: The study of morbidity and mortality in patients with jejuno-ileal atresia and prognostic factors significantly affected.

Methods: A retrospective study of 80 patients diagnosed with jejuno-ileal atresia at the Children's Hospital of Damascus University between 2006 and the end of 2010.

Results: Eighty patients were diagnosed with jejuno-ileal atresia (55 jejunum atresia and 25 ileum atresia), of which 48 were males and 32 females.

The number of preterm infants was 33 (25 of them were jejunum atresia), and the average birth weight was 2499.5 g (2347.8 in jejunum atresia and 2833.2 g in ileum atresia).

Atresia type: (15 patients type I, 1 type II, 29 type IIIa pattern, 18 patients IIIb pattern, 19 patients IV pattern), associated malformations in 13 patients (12.5%).

The management of the patients differed between the jejunal and ileal atresia.

In the jejunal atresia performed resection-anastomosis in 2 patients, removal of a diaphragm in 3 patients, tapering in 25 patients, plication in 19 patients and stoma in 6 patients.

Resection-anastomosis in 16 patients with ileal atresia and stoma in 6 patients.

The average time for oral intake was 6.57 days, and the length of stay in the hospital ranged from 6 to 40 days at an average of 19.06 days.

Deaths in 38 patients 47.5% (8 patients with ileal atresia and 30 with jejunal atresia).

Death was mainly associated with kind of atresia (jejuanal or ileal), and the type of atresia (I, II, IIIa, IIIb, IV).

Some factors contributed to an increase in mortality, such as low birth weight, prematurity, generalized infection and incomplete application of TPN.

Conclusions: Survival has improved in patients with jejuno-ileal atresia in developed countries, but this does not occur in developing countries, the high mortality rate is still seen and many factors are involved in increased morbidity and mortality in these countries, including kind of atresia, congenital anomalies, generalized infection and incomplete application of TPN and neonatal intensive care