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STENOSIS
- incidence of jejunoileal atresia and stenosis is one in
1000 live births.
Etiology :
-Tandler suggested that intestinal atresia was related
to a lack of recanalization of the solid stage of the
intestine, while others have questioned these theories
- Louw suggested that jejuno-ileal atresia was probably
due to a vascular accident rather than the result of
inadequate recanalization
- A localized intrauterine vascular accident can
cause ischemic necrosis, liquefaction of tissues and
subsequent resorption of the affected devitalized
segment.
Classification
Stenosis (11%) is characterized by a short
localized narrowing of the bowel without
discontinuity or a mesenteric defect. The bowel is of
normal length.
Clinical Manifestations
DIAGNOSTIC PROCEDURES
radiological examination of the abdomen and chest distended air-filled small intestinal loops proximal to
an obstruction in a gasless distal abdomen. In some
instances, the first abdominal radiograph can reveal a
completely opaque contrastless abdomen due to
fluid-filled obstructed bowel.
The more distal the obstruction the greater the
number of air fluid filled and distended loops of
bowel
The bowel proximal to the site of obstruction may
have the appearance of a large air-fluid filled loop.
a contrast enema is performed to exclude colonic
atresia, distinguish between small and large bowel
distension, determine whether the colon has the
typical microcolon appearance,
TREATMENT