Dealing with the hugely ectatic duodenum in high jejunal atresias

Abstract

High jejunal atresias may be associated with ectasia of the duodenum and dysmotility, which can delay inception of feedings and inanition. The procedures used for ectatic jejunum cannot be applied to the duodenum because of its complex anatomy. Dealing with the problem does not find mention in the major text books. Detailed here is a baby operated for jejunal atresia in which the ectatic duodenum led to prolonged, high postoperative aspirates, which precluded feeds. The successful operative management of the dilated duodenum is described below.

Keywords: atresias, duodenum, distal duodenal resection/tailoring, Entasis, jejunal