%0 Journal Article
%T Comorbilidad y letalidad en el primer a£¿o de vida en ni£¿os con atresia yeyunoileal
%A Garc¨ªa
%A Heladia
%A Franco-Guti¨¦rrez
%A Mario
%A Rodr¨ªguez-Mej¨ªa
%A Evaldo Jes¨²s
%A Gonz¨¢lez-Lara
%A Carlos David
%J Revista de investigaci¨®n cl¨ªnica
%D 2006
%I Scientific Electronic Library Online
%X objective. to identify the co-morbidity and mortality during the first year of life in children with jejunoileal atresia. design. descriptive, comparative cohort. site. hospital de pediatr¨ªa, centro m¨¦dico nacional siglo xxi, instituto mexicano del seguro social. population. seventy children with jejunoileal atresia. measures. following variables were registered: gestational age, birth weight, sex, type and site of atresia, other congenital defects, surgical management, number of surgeries, duration of fasting, re-hospitalizations, weight and height at 6 months and one year of life, co-morbidity and mortality. results. intestinal atresia types i and ii were present in 27% of the patients respectively and type iiia in 24%. co-morbidity in the neonatal period was 64.2%, being the most common conditions sepsis (47.1%) and anastomotic stricture (18.5%). during the first year of life co-morbidity was 51.4%, presented as functional intestinal obstruction (21.4%). mortality was 11.4% (n = 8), the main causes of death were sepsis (n = 6) and liver failure (n = 2). the mortality rate according to the type of atresia was 44.4% for type iv, 33.3% for type iiib and 1.3% for type i. conclusions. co-morbidity during the first year of life in children with jejunoileal atresia is high, and related to infections and anastomosis inherent problems. mortality is higher for intestinal atresia type iv.
%K intestinal atresia
%K morbidity
%K mortality
%K cholestasis
%K liver failure
%K short bowel syndrome.
%U http://www.scielo.org.mx/scielo.php?script=sci_abstract&pid=S0034-83762006000500005&lng=en&nrm=iso&tlng=en