New successful one-step surgical repair for apple peel atresia

uccessful one-step surgical repair for apple peel atresia Case report (1697) Total Article Views Authors: Machmouchi M Published Date November 2011 Volume 2011:4 Pages 53 - 56 DOI: http://dx.doi.org/10.2147/OAS.S25147 Mahmoud Machmouchi Department of Pediatrics, Royal Commission Hospital, Jubail, Saudi Arabia Abstract: A new successful surgical approach in two identical twins delivered with intestinal atresia, “apple peel” type is reported. This technique consists of: (1) an end-to-end oblique primary anastomosis with single layer inverted 5/0 Vicryl sutures (Ethicon, Inc, Somerville, NJ); (2) proximal tube jejunostomy using Foley catheter, size 10 French, inserted through a stab wound in the left upper quadrant and entering the proximal dilated loop at about 10 cm proximal from its blind end (site of anastomosis); and (3) transanastomotic stenting using feeding tube, size 6 French, exteriorized in conjunction with the Foley catheter and reaching the lumen of the distal loop for more than 20 cm. The postoperative course was uneventful and progressive oral feed became ad libitum around day 40 postoperative. This procedure is simple, performed in one stage, and responds to the most obligatory requirements of this congenital malformation.