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Jejunal, Ileal Atresia
Karen Y. Oh, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • 1 or more areas of stenosis or atresia involving small bowel

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. John R et al: Diagnostic accuracy of prenatal ultrasound in identifying jejunal and ileal atresia. Fetal Diagn Ther. 38(2):142-6, 2015
                                    2. Tonni G et al: Prenatal diagnosis of gastric and small bowel atresia: a case series and review of the literature. J Matern Fetal Neonatal Med. 1-9, 2015
                                    3. Virgone C et al: Accuracy of prenatal ultrasound in detecting jejunal and ileal atresia: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 45(5):523-9, 2015
                                    4. Takahashi D et al: Population-based study of esophageal and small intestinal atresia/stenosis. Pediatr Int. 56(6):838-44, 2014
                                    5. Jo YS et al: Antenatal sonographic features of ileal atresia. J Obstet Gynaecol Res. 38(1):215-9, 2012
                                    6. Rubesova E: Fetal bowel anomalies--US and MR assessment. Pediatr Radiol. 42 Suppl 1:S101-6, 2012
                                    7. Colombani M et al: Fetal gastrointestinal MRI: all that glitters in T1 is not necessarily colon. Pediatr Radiol. 40(7):1215-21, 2010
                                    8. Jackson CR et al: Dilated and echogenic fetal bowel and postnatal outcomes: a surgical perspective. Case series and literature review. Eur J Pediatr Surg. 20(3):191-3, 2010
                                    9. Arbell D et al: Prepartum sonographic demonstration of 'to-and-fro' motion in fetal intestinal obstruction: a novel sign for immediate postnatal surgery. Ultrasound Obstet Gynecol. 32(1):112-4, 2008
                                    10. Baglaj M et al: Multiple atresia of the small intestine: a 20-year review. Eur J Pediatr Surg. 18(1):13-8, 2008
                                    11. Carcopino X et al: Use of fetal magnetic resonance imaging in differentiating ileal atresia from meconium ileus. Ultrasound Obstet Gynecol. 28(7):976-7, 2006
                                    12. de la Hunt MN: The acute abdomen in the newborn. Semin Fetal Neonatal Med. 11(3):191-7, 2006
                                    13. Nick AM et al: Second-trimester intra-abdominal bowel dilation in fetuses with gastroschisis predicts neonatal bowel atresia. Ultrasound Obstet Gynecol. 28(6):821-5, 2006
                                    14. Shawis R et al: Prenatal bowel dilatation and the subsequent postnatal management. Early Hum Dev. 82(5):297-303, 2006
                                    15. Wax JR et al: Congenital jejunal and ileal atresia: natural prenatal sonographic history and association with neonatal outcome. J Ultrasound Med. 25(3):337-42, 2006
                                    16. Bilodeau A et al: Hereditary multiple intestinal atresia: thirty years later. J Pediatr Surg. 39(5):726-30, 2004
                                    17. Cho FN et al: Prenatal sonographic findings in a fetus with congenital isolated ileal atresia. J Chin Med Assoc. 67(7):366-8, 2004
                                    18. Benachi A et al: Determination of the anatomical location of an antenatal intestinal occlusion by magnetic resonance imaging. Ultrasound Obstet Gynecol. 18(2):163-5, 2001
                                    19. Kubota A et al: Congenital ileal atresia presenting as a single cyst-like lesion on prenatal sonography. J Clin Ultrasound. 28(4):206-8, 2000
                                    20. Shimotake T et al: Ultrasonographic detection of intrauterine intussusception resulting in ileal atresia complicated by meconium peritonitis. Pediatr Surg Int. 16(1-2):43-4, 2000
                                    21. Shinmoto H et al: MR imaging of non-CNS fetal abnormalities: a pictorial essay. Radiographics. 20(5):1227-43, 2000
                                    22. Corteville JE et al: Bowel abnormalities in the fetus--correlation of prenatal ultrasonographic findings with outcome. Am J Obstet Gynecol. 175(3 Pt 1):724-9, 1996
                                    23. Surana R et al: Small intestinal atresia: effect on fetal nutrition. J Pediatr Surg. 29(9):1250-2, 1994
                                    24. Estroff JA et al: Prevalence of cystic fibrosis in fetuses with dilated bowel. Radiology. 183(3):677-80, 1992
                                    25. Heij HA et al: Atresia of jejunum and ileum: is it the same disease? J Pediatr Surg. 25(6):635-7, 1990
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Definitions

                                                • 1 or more areas of stenosis or atresia involving small bowel

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • MR Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. John R et al: Diagnostic accuracy of prenatal ultrasound in identifying jejunal and ileal atresia. Fetal Diagn Ther. 38(2):142-6, 2015
                                                                      2. Tonni G et al: Prenatal diagnosis of gastric and small bowel atresia: a case series and review of the literature. J Matern Fetal Neonatal Med. 1-9, 2015
                                                                      3. Virgone C et al: Accuracy of prenatal ultrasound in detecting jejunal and ileal atresia: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 45(5):523-9, 2015
                                                                      4. Takahashi D et al: Population-based study of esophageal and small intestinal atresia/stenosis. Pediatr Int. 56(6):838-44, 2014
                                                                      5. Jo YS et al: Antenatal sonographic features of ileal atresia. J Obstet Gynaecol Res. 38(1):215-9, 2012
                                                                      6. Rubesova E: Fetal bowel anomalies--US and MR assessment. Pediatr Radiol. 42 Suppl 1:S101-6, 2012
                                                                      7. Colombani M et al: Fetal gastrointestinal MRI: all that glitters in T1 is not necessarily colon. Pediatr Radiol. 40(7):1215-21, 2010
                                                                      8. Jackson CR et al: Dilated and echogenic fetal bowel and postnatal outcomes: a surgical perspective. Case series and literature review. Eur J Pediatr Surg. 20(3):191-3, 2010
                                                                      9. Arbell D et al: Prepartum sonographic demonstration of 'to-and-fro' motion in fetal intestinal obstruction: a novel sign for immediate postnatal surgery. Ultrasound Obstet Gynecol. 32(1):112-4, 2008
                                                                      10. Baglaj M et al: Multiple atresia of the small intestine: a 20-year review. Eur J Pediatr Surg. 18(1):13-8, 2008
                                                                      11. Carcopino X et al: Use of fetal magnetic resonance imaging in differentiating ileal atresia from meconium ileus. Ultrasound Obstet Gynecol. 28(7):976-7, 2006
                                                                      12. de la Hunt MN: The acute abdomen in the newborn. Semin Fetal Neonatal Med. 11(3):191-7, 2006
                                                                      13. Nick AM et al: Second-trimester intra-abdominal bowel dilation in fetuses with gastroschisis predicts neonatal bowel atresia. Ultrasound Obstet Gynecol. 28(6):821-5, 2006
                                                                      14. Shawis R et al: Prenatal bowel dilatation and the subsequent postnatal management. Early Hum Dev. 82(5):297-303, 2006
                                                                      15. Wax JR et al: Congenital jejunal and ileal atresia: natural prenatal sonographic history and association with neonatal outcome. J Ultrasound Med. 25(3):337-42, 2006
                                                                      16. Bilodeau A et al: Hereditary multiple intestinal atresia: thirty years later. J Pediatr Surg. 39(5):726-30, 2004
                                                                      17. Cho FN et al: Prenatal sonographic findings in a fetus with congenital isolated ileal atresia. J Chin Med Assoc. 67(7):366-8, 2004
                                                                      18. Benachi A et al: Determination of the anatomical location of an antenatal intestinal occlusion by magnetic resonance imaging. Ultrasound Obstet Gynecol. 18(2):163-5, 2001
                                                                      19. Kubota A et al: Congenital ileal atresia presenting as a single cyst-like lesion on prenatal sonography. J Clin Ultrasound. 28(4):206-8, 2000
                                                                      20. Shimotake T et al: Ultrasonographic detection of intrauterine intussusception resulting in ileal atresia complicated by meconium peritonitis. Pediatr Surg Int. 16(1-2):43-4, 2000
                                                                      21. Shinmoto H et al: MR imaging of non-CNS fetal abnormalities: a pictorial essay. Radiographics. 20(5):1227-43, 2000
                                                                      22. Corteville JE et al: Bowel abnormalities in the fetus--correlation of prenatal ultrasonographic findings with outcome. Am J Obstet Gynecol. 175(3 Pt 1):724-9, 1996
                                                                      23. Surana R et al: Small intestinal atresia: effect on fetal nutrition. J Pediatr Surg. 29(9):1250-2, 1994
                                                                      24. Estroff JA et al: Prevalence of cystic fibrosis in fetuses with dilated bowel. Radiology. 183(3):677-80, 1992
                                                                      25. Heij HA et al: Atresia of jejunum and ileum: is it the same disease? J Pediatr Surg. 25(6):635-7, 1990