What are the sequelae of intestinal atresia surgery

summary

Today's young people do not know how to protect their intestines, so there will be a lot of gastrointestinal diseases. Intestinal obstruction or other reasons may cause some diseases, and intestinal atresia surgery will become a good choice. Let's talk about the sequelae of intestinal atresia surgery.

What are the sequelae of intestinal atresia surgery

First, this type of atresia is located in the proximal jejunum, the distal mesentery is free, and the small intestine is spirally coiled around the vascular branches. The distance between the two blind ends of atresia is large, which increases the difficulty of anastomosis. If the patient's general condition is better, the proximal dilated jejunum should be cut to form a caudate shape, and the distal intestinal tube should be anastomosed end to end or end to end obliquely. The anastomotic stoma should be sutured with single layer interrupted mucosal varus method. After anastomosis, the direction of intestinal tube should be carefully straightened out to avoid torsion.

Second, if the patient is accompanied with low weight, multiple malformations or poor general condition, it is better to adopt simple operation, and Santulli fistulation is feasible. T-shaped lateral anastomosis was performed between the expanded proximal and distal intestine, and proximal enterostomy was performed. Bishop Koop colostomy is also feasible. The proximal intestine is anastomosed with the distal jejunum in an inverted T-shape, and the distal intestine is anastomosed. After the operation, parenteral nutrition is given. After 2-3 months, the general condition is improved and the fistula is closed.

Thirdly, the number and type of atresia sites should be determined first. The principle of operation is to properly handle the proximal dilated bowel and to preserve the small intestine to the maximum extent, especially the terminal ileum and ileocecal valve. The terminal ileum absorbs fat soluble vitamins and takes on the function of bile salt enterohepatic circulation. Ileocecal valve can not only prevent the reflux of colonic contents, but also prolong the time of food retention in ileum, which is conducive to the absorption of nutrients. If there are only a few atresia and the distance is close, the atresia segment can be completely removed and then one-stage intestinal anastomosis can be performed.

matters needing attention

Any operation will have some sequelae, but also affect the normal function of some organs of the human body. Above we also have some understanding of intestinal atresia surgery, in the process of surgery may have some damage to the intestinal tract, if the postoperative care is poor, there may be some intestinal complications.