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Jejunoileal Atresia
Steven J. Kraus, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Congenital occlusion of jejunal or ileal lumen
              • Ranges from focal membrane to long-segment intestinal atresia + mesenteric gap
              • Stenosis, incomplete web: Forme fruste of atresia

            IMAGING

            • General Features

              • Radiographic Findings

                • Fluoroscopic Findings

                  • 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. Coletta R et al: Short bowel syndrome in children: surgical and medical perspectives. Semin Pediatr Surg. 23(5):291-7, 2014
                                        2. Maxfield CM et al: A pattern-based approach to bowel obstruction in the newborn. Pediatr Radiol. 43(3):318-29, 2013
                                        3. Burjonrappa S et al: Comparative outcomes in intestinal atresia: a clinical outcome and pathophysiology analysis. Pediatr Surg Int. 27(4):437-42, 2011
                                        4. 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
                                        5. Burjonrappa SC et al: Prognostic factors in jejuno-ileal atresia. Pediatr Surg Int. 25(9):795-8, 2009
                                        6. Tongsin A et al: Atresia of the jejunum and ileum: what is the difference? J Med Assoc Thai. 91 Suppl 3:S85-9, 2008
                                        7. Stollman TH et al: Investigation for cystic fibrosis in infants with jejunoileal atresia in the Netherlands: a 35-year experience with 114 cases. Eur J Pediatr. 166(9):989-90, 2007
                                        8. Shorter NA et al: A proposed classification system for familial intestinal atresia and its relevance to the understanding of the etiology of jejunoileal atresia. J Pediatr Surg. 41(11):1822-5, 2006
                                        9. Cho FN et al: Prenatal sonographic findings in a fetus with congenital isolated ileal atresia. J Chin Med Assoc. 67(7):366-8, 2004
                                        10. Sangkhathat S et al: Ileal atresia and total colonic aganglionosis. J Med Assoc Thai. 85(10):1130-4, 2002
                                        11. 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
                                        12. Rattan KN et al: Intrauterine intussusception--a cause for ileal atresia. Indian J Pediatr. 67(11):851-2, 2000
                                        13. Hasegawa T et al: Ileal atresia associated with an omphalomesenteric duct remnant. Pediatr Surg Int. 13(2-3):182-3, 1998
                                        14. Asabe K et al: Anorectal malformation with ileal atresia. Pediatr Surg Int. 12(4):302-4, 1997
                                        15. Buonomo C: Neonatal gastrointestinal emergencies. Radiol Clin North Am. 35(4):845-64, 1997
                                        16. Janik JP et al: Ileal atresia with total colonic aganglionosis. J Pediatr Surg. 32(10):1502-3, 1997
                                        17. Neal MR et al: Neonatal ultrasonography to distinguish between meconium ileus and ileal atresia. J Ultrasound Med. 16(4):263-6; quiz 267-8, 1997
                                        18. Jackman S et al: A lesson in intestinal atresias. J Pediatr Surg. 23(9):852-3, 1988
                                        19. Kullendorff CM: Atresia of the small bowel. Ann Chir Gynaecol. 72(4):192-5, 1983
                                        20. Gaisie G et al: The bulbous bowel segment: a sign of congenital small bowel obstruction. Radiology. 135(2):331-4, 1980
                                        21. Daneman A et al: A syndrome of multiple gastrointestinal atresias with intraluminal calcification. A report of a case and a review of the literature. Pediatr Radiol. 8(4):227-31, 1979
                                        22. Berdon WE et al: Microcolon in newborn infants with intestinal obstruction. Its correlation with the level and time of onset of obstruction. Radiology. 90(5):878-85, 1968
                                        23. Intestinal Atresia, Stenosis, & Webs; http://emedicine.medscape.com/article/940615-overview#a2
                                        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

                                                    • Congenital occlusion of jejunal or ileal lumen
                                                    • Ranges from focal membrane to long-segment intestinal atresia + mesenteric gap
                                                    • Stenosis, incomplete web: Forme fruste of atresia

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • Fluoroscopic Findings

                                                        • 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. Coletta R et al: Short bowel syndrome in children: surgical and medical perspectives. Semin Pediatr Surg. 23(5):291-7, 2014
                                                                              2. Maxfield CM et al: A pattern-based approach to bowel obstruction in the newborn. Pediatr Radiol. 43(3):318-29, 2013
                                                                              3. Burjonrappa S et al: Comparative outcomes in intestinal atresia: a clinical outcome and pathophysiology analysis. Pediatr Surg Int. 27(4):437-42, 2011
                                                                              4. 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
                                                                              5. Burjonrappa SC et al: Prognostic factors in jejuno-ileal atresia. Pediatr Surg Int. 25(9):795-8, 2009
                                                                              6. Tongsin A et al: Atresia of the jejunum and ileum: what is the difference? J Med Assoc Thai. 91 Suppl 3:S85-9, 2008
                                                                              7. Stollman TH et al: Investigation for cystic fibrosis in infants with jejunoileal atresia in the Netherlands: a 35-year experience with 114 cases. Eur J Pediatr. 166(9):989-90, 2007
                                                                              8. Shorter NA et al: A proposed classification system for familial intestinal atresia and its relevance to the understanding of the etiology of jejunoileal atresia. J Pediatr Surg. 41(11):1822-5, 2006
                                                                              9. Cho FN et al: Prenatal sonographic findings in a fetus with congenital isolated ileal atresia. J Chin Med Assoc. 67(7):366-8, 2004
                                                                              10. Sangkhathat S et al: Ileal atresia and total colonic aganglionosis. J Med Assoc Thai. 85(10):1130-4, 2002
                                                                              11. 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
                                                                              12. Rattan KN et al: Intrauterine intussusception--a cause for ileal atresia. Indian J Pediatr. 67(11):851-2, 2000
                                                                              13. Hasegawa T et al: Ileal atresia associated with an omphalomesenteric duct remnant. Pediatr Surg Int. 13(2-3):182-3, 1998
                                                                              14. Asabe K et al: Anorectal malformation with ileal atresia. Pediatr Surg Int. 12(4):302-4, 1997
                                                                              15. Buonomo C: Neonatal gastrointestinal emergencies. Radiol Clin North Am. 35(4):845-64, 1997
                                                                              16. Janik JP et al: Ileal atresia with total colonic aganglionosis. J Pediatr Surg. 32(10):1502-3, 1997
                                                                              17. Neal MR et al: Neonatal ultrasonography to distinguish between meconium ileus and ileal atresia. J Ultrasound Med. 16(4):263-6; quiz 267-8, 1997
                                                                              18. Jackman S et al: A lesson in intestinal atresias. J Pediatr Surg. 23(9):852-3, 1988
                                                                              19. Kullendorff CM: Atresia of the small bowel. Ann Chir Gynaecol. 72(4):192-5, 1983
                                                                              20. Gaisie G et al: The bulbous bowel segment: a sign of congenital small bowel obstruction. Radiology. 135(2):331-4, 1980
                                                                              21. Daneman A et al: A syndrome of multiple gastrointestinal atresias with intraluminal calcification. A report of a case and a review of the literature. Pediatr Radiol. 8(4):227-31, 1979
                                                                              22. Berdon WE et al: Microcolon in newborn infants with intestinal obstruction. Its correlation with the level and time of onset of obstruction. Radiology. 90(5):878-85, 1968
                                                                              23. Intestinal Atresia, Stenosis, & Webs; http://emedicine.medscape.com/article/940615-overview#a2