Different Management of Ileal Atresia

Aim: To study different methods of management of ileal atresia, relating to operative time, bowel length, establishment of feeds and duration of parenteral nutrition.Methods: From January 2013 to January 2014 all neonates presenting with ileal atresia were included. Cases with duodenal, jejunal atresia, type IV ileal atresia, other causes of delayed passage meconium were excluded.Results: 22 cases of types I, II, IIIa atresia were included over 1 year. 10 cases of ileal atresia had resection of the ectatic segment, 7 cases of them ileostomy was done either bishop koop or mickulicks, 5 cases excision of the web only without resection of dilated part.In this cohort we have one case that had an anastomotic leak in bishopkoop group and one case stenosis in cases of excision of the web only. In 2 patients the Bishop Koop chimney closed spontaneously, and closure was done in the other cases of stoma at the age of 6 months to 1 year.Conclusion: Excision of dilated part in cases of ileal atresia or stoma is more beneficial and is a safe technique, and despite being a lengthier operation, feeds could be established earlier, and short hospital stay thus helps in improving the survival.