duodenal atresia
TRANSCRIPT
INTESTINAL OBSTRUCTION
Intestinal obstruction• It is an interruption in the flow of intestinal contents
through the intestine• In small or large intestine • Complete or partial
Causes • Congenital Intestinal obstruction
Intestinal atresia Malrotation of gut Meconium plug syndrome Meconium ileus Annular pancrease Mickel’s diverticulum Hirshsprung’s disease
Acquired intestinal obstruction
• Intussusception• Volvulus • Tumor or hematoma• Hernia and strangulation • Stricture or stenosis of intestine • Inflammatory disease• Foreign body • Worm mass• Paralytic ileus
Duodenal Atresia
• Duodenal atresia is the congenital absence or complete closure of a portion of the lumen of the duodenum
• 1 per 5000 to 10,000 live births• Affecting boys more commonly- than girls
Pathophysiology
Clinical manifestation • Abdominal distension
• Bilious vomiting
• Absence of flatus
• No passage of stool
• Respiratory distress
• Abdominal tenderness
• Shock
• Chance to have trisomy 21
Diagnostic evaluation • History collection • Physical examination • USG abdomen • X ray chest abdomen - double bubble • Blood test • CT scan
Management • IV fluids • Oro or nasogastric aspiration • Stomach wash • NPO• Antibiotics, Antiemetic ,vitamin
supplement, Antacids
Surgical management Laprotomy • Rescection bowel –strangulated bowel • Ladd’s band-malrotation • Enterotomy –foreign bodies • Stenosis-duodeno/ jejuno duodenostomy