scholarly journals New successful one-step surgical repair for apple peel atresia

2011 ◽  
pp. 53
Author(s):  
Mahmoud Machmouchi
Keyword(s):  
Surgical Repair ◽  
Apple Peel ◽  
One Step ◽  
Apple Peel Atresia

One-Step Management of Apple-Peel Atresia

2009 ◽  
Vol 109 (6) ◽  
pp. 775-777 ◽  
Author(s):  
L. Harper ◽  
J.-L. Michel ◽  
S. de Napoli-Cocci ◽  
M.-B. Aulagne ◽  
A. Maurel ◽  
...  
Keyword(s):  
Apple Peel ◽  
One Step ◽  
Apple Peel Atresia

Oesophageal atresia: sonographic signs may prenatally predict surgical complexity

2021 ◽  
pp. fetalneonatal-2021-321836
Author(s):  
Tal Weissbach ◽  
Anya Kushnir ◽  
Ella Haber Kaptsenel ◽  
Leah Leibovitch ◽  
Ron Bilik ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Multivariate Analysis ◽  
Medical Records ◽  
Surgical Repair ◽  
Oesophageal Atresia ◽  
Multivariate Logistic Regression ◽  
Sign Detection ◽  
Surgical Complexity ◽  
One Step ◽  
Parental Counselling

ObjectiveOesophageal atresia (OA) is a major anomaly of varying severity. The complexity of surgical correction highly depends on the gap length of missing oesophagus and the presence of a distal fistula. The aim of this study was to identify antenatal sonographic findings associated with presence of a distal fistula and type of surgical repairMethodsPrenatal medical records of neonates postnatally diagnosed with OA were reviewed. Sonographic signs of OA (small/absent stomach, polyhydramnios, oesophageal pouch) and the trimester at sign detection were recorded and compared between (1) OA with and without a distal fistula and (2) early one-step versus delayed two-step anastomosis. Multivariate analysis was performed.ResultsOverall, 80 cases of OA were included. Absence of a distal fistula was significantly associated with higher rates of small/absent stomach (100% vs 28.6%, P<0.0001), oesophageal pouch (100% vs 24.3%, P<0.0001) and severe polyhydramnios (66.7% vs 22.9%, P=0.006), compared with OA with a distal fistula.Cases requiring a delayed two-step repair had higher rates of small/absent stomach (84.2% vs 16.7%, P>0.0001), severe polyhydramnios (47.4% vs 16.7%, P=0.008) and oesophageal pouch (73.7% vs 18.5%, P<0.0001), compared with those corrected in an early one-step anastomosis.Multivariate logistic regression found small/absent stomach and pouch to be significantly and independently associated with a delayed two-step anastomosis.ConclusionOA without a distal fistula is associated with higher rates of prenatal sonographic signs. Both small/absent stomach and a pouch are independently associated with a delayed two-step anastomosis. These findings may help improve antenatal parental counselling regarding the anticipated surgical repair.

scholarly journals Apple peel atresia: a case report

2019 ◽  
Vol 6 (5) ◽  
pp. 1821
Author(s):  
Pradeep Balineni ◽  
Shruthi Kamal ◽  
Prasanna Manickam ◽  
Keerthana Shivaji
Keyword(s):  
Case Report ◽  
Duodenal Atresia ◽  
Abdominal Distention ◽  
X Rays ◽  
Positive History ◽  
Apple Peel ◽  
Chief Complaints ◽  
History Of ◽  
Abdominal Examination ◽  
Apple Peel Atresia

A 3 days old child presented with chief complaints of bilious vomiting and abdominal distention since few hours duration. Prenatal history revealed mother to be polyhydraminos and pregnancy induced hypertensive was on treatment with labetolol. Baby was a term, emergency lscs delivery. On examination baby was active, alert and with fair hydration. On per abdominal examination abdomen was distended and dilated bowel loops were seen. On per rectal wash pale jelly stools were expelled. Baby was taken up for emergency laprotomy and found to be having illeal atresia for which resection and anastamosis is done. Post operatively baby was doing well with satisfactory weight gain. Intestinal atresias are the major cause of intestinal obstruction in cases of neonates. They may be illeal or duodenal atresia. It is hypothesized to be occurring due intrauterine vascular assault and failure of recanalization. Babies present with vomiting and abdominal distention with mother having a positive history of polyhydraminos. On examination there will be abdominal distention with dilated bowel loops. X-rays would show dilated bowel loops and ultrasound shows decreased peristalisis in the bowel loops. Emergency laprotomy and surgical resection is the treatment of choice.

Apple peel atresia

2017 ◽  
Author(s):  
I Schönborn ◽  
E Tucher ◽  
AK Oligmüller ◽  
W Henrich
Keyword(s):  
Apple Peel ◽  
Apple Peel Atresia

scholarly journals Apple-peel atresia presenting as foetal intestinal obstruction

2011 ◽  
Vol 8 (2) ◽  
pp. 235 ◽  
Author(s):  
AshokYadavrao Kshirsagar ◽  
MayurAnant Nagvekar ◽  
SushmaRajaram Desai ◽  
GauravOm Prakash Vasisth
Keyword(s):  
Intestinal Obstruction ◽  
Apple Peel ◽  
Apple Peel Atresia

Long-term surgical outcomes of apple-peel atresia

2019 ◽  
Vol 54 (12) ◽  
pp. 2503-2508
Author(s):  
Haitao Zhu ◽  
Runnan Gao ◽  
Mashriq Alganabi ◽  
Kuiran Dong ◽  
Niloofar Ganji ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Apple Peel ◽  
Apple Peel Atresia

scholarly journals An Atypical Variant of Apple Peel Atresia: Reporting a Rare Case

Cureus ◽  
2019 ◽  
Author(s):  
Taha Bin Arif ◽  
Jawad Ahmed ◽  
Farheen Malik ◽  
Sharmeen Nasir ◽  
Aiman Ali
Keyword(s):  
Rare Case ◽  
Apple Peel ◽  
Atypical Variant ◽  
Apple Peel Atresia

?Apple peel? atresia of the small bowel: Prenatal diagnosis of the obstruction by ultrasound

1980 ◽  
Vol 9 (2) ◽  
pp. 118-119 ◽  
Author(s):  
Donna Fletman ◽  
D. McQuown ◽  
V. Kanchanapoom ◽  
M. T. Gyepes
Keyword(s):  
Prenatal Diagnosis ◽  
Small Bowel ◽  
Apple Peel ◽  
Apple Peel Atresia
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