In case of new born the commonest cause of intestinal obstruction is –
Correct Answer: Duodenal Atresia
Description: Congenital atresia and stenosis are the commonest cause.
The incidence of atresia varies with anatomical site:
duodenum - 35percent
jejunum - 15percent
ileum - 25percent
ascending colon - 10percent
multiple sites - 15percent
Vomiting is bile stained or not, depends on the atresia proximal or distal to ampulla of vater. In 85% of cases the atresia is distal to the ampulla, therefore the vomiting is bilious.
Approximately 1/3 of newborns with duodenal atresia have associated Down's syndrome.
The 'double bubble seen on the air contrast upper GI series is characteristic of duodenal atresia.
Treatment of choice is - Duodenoduodenostomy
Category:
Surgery
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