Purpose Although intussusception has been reported as quite a rare cause of je junoileal atresia (JIA), pediatric surgeons have noted the frequent presence of intussusception as well as volvulus at surgery. The aim of...Purpose Although intussusception has been reported as quite a rare cause of je junoileal atresia (JIA), pediatric surgeons have noted the frequent presence of intussusception as well as volvulus at surgery. The aim of this study was to inv estigate the contribution of intrauterine intussusception and volvulus to the de velopment of JIA. Methods In 48 newborns (24 boys and 24 girls) treated for JIA at our hospital between 1978 and 2004, the operative and pathologic findings wer e reviewed. Results Intussusceptionwas responsible for gap and cord type atresia in 12 cases (25%). The cord showed an atrophic intestinal lumen in 2 cases. Vo lvulus was observed in 13 cases. Volvulus and intussusception were simultaneousl y noted in 1 case. This suggested that intussusception was the cause of the atre sia, whereas volvulus was a secondary event. Neither intussusception nor volvulu s was observed in high jejunal, apple peel, or multiple atresia. Conclusions Int rauterine volvulus and intussusception were commonly observed in single mid-and low JIA. Thus, intrauterine intussusception may be a common cause of gap and co rd type JIA. Volvulus may not only cause JIA but also result from anatomic chang es after the development of JIA in some cases.展开更多
文摘Purpose Although intussusception has been reported as quite a rare cause of je junoileal atresia (JIA), pediatric surgeons have noted the frequent presence of intussusception as well as volvulus at surgery. The aim of this study was to inv estigate the contribution of intrauterine intussusception and volvulus to the de velopment of JIA. Methods In 48 newborns (24 boys and 24 girls) treated for JIA at our hospital between 1978 and 2004, the operative and pathologic findings wer e reviewed. Results Intussusceptionwas responsible for gap and cord type atresia in 12 cases (25%). The cord showed an atrophic intestinal lumen in 2 cases. Vo lvulus was observed in 13 cases. Volvulus and intussusception were simultaneousl y noted in 1 case. This suggested that intussusception was the cause of the atre sia, whereas volvulus was a secondary event. Neither intussusception nor volvulu s was observed in high jejunal, apple peel, or multiple atresia. Conclusions Int rauterine volvulus and intussusception were commonly observed in single mid-and low JIA. Thus, intrauterine intussusception may be a common cause of gap and co rd type JIA. Volvulus may not only cause JIA but also result from anatomic chang es after the development of JIA in some cases.
