IMPROVEMENT OF SURGICAL TACTICS IN NEONATAL SMALL INTESTINAL ATRESIA
DOI:
https://doi.org/10.55640/Keywords:
Small intestinal atresia; newborns; intestinal obstruction; neonatal surgery; surgical tactics; enterostomy; intestinal anastomosis.Abstract
Small intestinal atresia is one of the most common causes of low intestinal obstruction in newborns and remains associated with significant morbidity and mortality. Clinical outcomes depend on the anatomical type of atresia, presence of complications, and adequacy of surgical tactics.
Aim: To optimize surgical management strategies for congenital small intestinal atresia in newborns.
Materials and Methods: A retrospective analysis was performed on 41 newborns treated for small intestinal atresia between 2014 and 2016. Clinical presentation, diagnostic methods, surgical tactics, and outcomes were evaluated. Patients with complicated and uncomplicated forms were analyzed separately.
Results: Complicated forms of atresia were identified in 41.5% of cases and were associated with higher morbidity and mortality. Primary anastomosis showed favorable outcomes in uncomplicated cases. Staged surgery with enterostomy was effective in the presence of peritonitis or sepsis. Mortality was mainly related to prematurity, sepsis, and complex anatomical types of atresia.
Conclusion: Individualized surgical tactics based on anatomical type and clinical condition improve outcomes in neonatal small intestinal atresia. Early diagnosis, adequate preoperative preparation, and staged surgery in complicated cases are essential for reducing mortality and postoperative complications.
Downloads
References
1.Amongeldievich, Y. E., & Shamsiddinovich, E. N. (2016). Features of clinical picture of cystic dilatations of the biliary ducts in children. European science review, (5-6), 163-165.
2.Behrman R. E., Butler A. S. Advances in neonatal surgical care and outcomes. Current Opinion in Pediatrics. 2022;34(3):337–343.
3.Best K. E., Tennant P. W., Addor M. C. Epidemiology of small intestinal atresia in Europe. Archives of Disease in Childhood. 2019;104(7):636–641.
4.Dalla Vecchia L. K., Grosfeld J. L. Jejunoileal atresia and stenosis. Seminars in Pediatric Surgery. 2019;28(5):150–156.
5.Dusaliyev, F. M., & Sh, B. M. (2026). CLINICAL COURSE AND DIAGNOSTIC APPROACHES OF ANORECTAL MALFORMATIONS ASSOCIATED WITH RECTOURETHRAL FISTULAS IN BOYS. Shokh Articles Library, 1(1).
6.Dusaliyev, F. M. (2026). TUG ‘MA QISMAN ICHAK TUTILISHIDA KOMPLEKS DIAGNOSTIK ALGORITMLARNING KLINIK SAMARADORLIGI. PEDAGOGIK ISLOHOTLAR VA ULARNING YECHIMLARI, 18(02), 24-25. -3
7.Dusaliyev, F. M., & Pulatova, M. (2026). TUG ‘MA QISMAN ICHAK TUTILISHIDA ANTENATAL VA POSTNATAL ULTRATOVUSH DIAGNOSTIKASINING AHAMIYATI. SHOKH LIBRARY, 1(1). -3
8.Dusaliyev, F. M., & Usmanov, A. (2026, February). UPPER AND LOWER FORMS OF CONGENITAL PARTIAL INTESTINAL OBSTRUCTION: ETIOLOGY AND ANATOMICAL FEATURES. In London International Monthly Conference on Multidisciplinary Research and Innovation (LIMCMRI) (Vol. 4, No. 1, pp. 48-49). Ergashev, N. S. 43-1 (25/2) 2019—N. Sh. Ergashev, FM Dusaliev,—ANATOMIC CHARACTERISTICS OF THE RECTOURETRAL FISTULAS WITH ANORECTAL MALFORMATIONS IN BOYS.
9.Ergashev, N., & NAZAROV, N. (2011). Diagnosis and treatment of congenital megalodolichocolon. Medical Health and Science Journal, 9(5), 83-88.
10.Khaidarov, N. S., Sh, B. M., & Dusaliyev, F. M. (2026). POSTOPERATIVE ABDOMINAL ADHESIVE DISEASE IN CHILDREN: CLINICAL EXPERIENCE. Shokh Articles Library, 1(1).
11.KHAMIDOV, B., KHURRAMOV, F., NAZAROV, N., & NAZIROVA, M. (2020). Comprehensive diagnosis and treatment of urinary incontinence in children. DOCTOR'S HERALD Учредители: Самаркандский государственный медицинский институт, 93(1), 83-85.
12.Khurramov, F. M., Khamidov, B., & Sattarov Zh, B. (2025). MODERN APPROACHES TO THE DIAGNOSIS AND TREATMENT OF HIRSCHSPRUNG’S DISEASE IN CHILDREN. Eurasian Journal of Medical and Natural Sciences, 5(1), 83-93.
13.Kim S. S., Seo J. M., Kim D. Y. Factors influencing survival in neonatal intestinal atresia. World Journal of Surgery. 2017;41(2):541–547.
14.Koga H., Okawada M., Lane G. J. Transanastomotic tube placement in jejunoileal atresia. Journal of Pediatric Surgery. 2016;51(11):1825–1829.
15.Kyrklund K., Pakarinen M. P. Long-term outcomes after neonatal intestinal surgery. World Journal of Pediatric Surgery. 2023;6(2):e000512.
16.Nazarov, N. N., Yakubov, E. A., & Karshiev, U. D. (2025, March). THE ROLE OF MULTISPIRAL COMPUTED TOMOGRAPHY IN VIRTUAL COLONOSCOPY IN THE DIAGNOSIS OF COLORECTAL MALFORMATIONS IN CHILDREN. In Health Horizon: Congress on Public Health and Biomedical Sciences (Vol. 1, No. 1, pp. 62-62).
17.Nurmuhammadovich, N. N. (2025). CLINIC, DIAGNOSTICS AND TREATMENT OF ACUTE HEMATOGENOUS OSTEOMYELITIS IN CHILDREN. Eurasian Journal of Medical and Natural Sciences, 5(3), 196-203.
18.Rees C. M., Eaton S., Kiely E. M. Surgical outcomes for jejunoileal atresia in the modern era. Pediatric Surgery International. 2020;36(3):349–356.
19.Sattarov, J. B., Khaydarov, N. S., Khurramov, F. M., Nazarov, N. N., & Urayimjonov Sh, D. (2024). DIAGNOSIS AND TREATMENT FOR ADHESION DISEASE IN CHILDREN. Endless light in science, 2(май), 62-65.
20.Sattarov, J., & Nazarov, N. (2020). Features of the clinic, diagnosis and treatment of mesocolic-parietal hernias in newborns and children of elder age groups. Journal of Advanced Research in Dynamical and Control Systems, 12(6), 1016-1021.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.
