Intestinal atresia is a birth defect that causes blockages of intestine. This repair is a surgery to removes the damaged area and connect the healthy ends.
Reasons for Procedure
This repair will let food pass through the intestines. It is done to repair the defect which is life threatening. It may take more than 1 surgery to correct the problem if a large area is involved.
|Normal Anatomy of the Abdominal Organs|
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Problems from the procedure will depend on the location and size of the defect. The doctor will review potential problems, like:
- Stop of any intestinal movement (ileus)—leads to back-up
- Leakage from where intestines were reconnected
- Short bowel syndrome—problem absorbing enough nutrition if a large segment of small intestine was removed
- Adhesions or scarring, which may cause blockage
- Vitamin deficiencies
- Blind loop syndrome–overgrowth of bacteria
What to Expect
Prior to Procedure
Atresia may be found before birth. A plan will be made to make repairs soon after the baby is born. Repairs cannot be made prior to the baby’s birth.
After birth, supportive steps before the surgery may include:
- IV fluids and nutrition
- Nasogastric tube to remove excess air and fluid in the stomach and intestines
General anesthesia is used. The baby will be asleep during the procedure.
Description of the Procedure
A cut will be made in the belly. The damaged intestine will be located and removed. The healthy ends of the intestine will be connected. The cut will then be closed with stitches and/or staples. The incision will then be covered with a bandage.
The intestine may not be able to be reconnected right away. An opening may be made in the skin and belly wall. The upper part of the remaining intestine is attached to this opening. This will form a stoma. The stoma will allow food waste to pass out of the body into an attached bag. This will let the lower intestine heal or lengthen enough to later reconnect.
Future surgeries may be needed once the baby is healthier. The open ends can then be connected or more tissue may be repaired.
Immediately After Procedure
The baby will be taken to a recovery room. The care team will watch for any problems and make sure the child is comfortable.
How Long Will It Take?
It depends on how much repair is needed.
How Much Will It Hurt?
Anesthesia prevents pain during surgery. Medicine will help to manage pain or soreness during recovery.
Average Hospital Stay
The length of stay depends on the extent of the repair needed. Proper feeding, weight gain, and bowel function are needed before the baby can go home. This may take several weeks.
A neonatal intensive care unit will watch over the baby. Recovery may also include:
- Pain medicine
- Antibiotics to prevent infection
- IV fluids and nutritional support
The hospital staff will take steps to reduce the chance of infection such as:
- Wash their hands
- Wear gloves or masks
- Keep your baby’s incisions covered
There are also steps you can take to reduce your baby’s chances of infection such as:
- Wash your hands often and reminding visitors and care team to do the same
- Remind care team to wear gloves or masks when needed.
- Do not allow others to touch your baby’s incisions
Recovery may take some time. A special diet may be needed to make sure the baby is getting proper nutrients. The baby’s growth and overall health will be watched to make nutrition is adequate.
Call Your Doctor
It is important to monitor your baby's recovery after they leave the hospital. Alert your baby's doctor to any problems. If any of the following occur, call your baby's doctor:
- Signs of infection, including fever or chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- New or worsening symptoms
Call for emergency medical service right away if your baby has:
- Difficulty breathing
Signs of bowel obstruction
- High fever
- Localized abdominal tenderness
- Abdominal swelling or hardness
- Green or yellow vomit
If you think your baby has an emergency, call for emergency medical services right away.
Centers for Disease Control and Prevention http://www.cdc.gov
March of Dimes http://www.marchofdimes.org
March of Dimes Canada http://www.marchofdimes.ca
Public Health Agency of Canada http://www.phac-aspc.gc.ca
Intestinal atresia and stenosis in children. Boston Children’s Hospital website. Available at: http://www.childrenshospital.org/conditions-and-treatments/conditions/intestinal-atresia-and-stenosis. Accessed January 11, 2019.
Intestinal atresia or stenosis. EBSCO DynaMed Plus website. Available at: https://www.dynamed.com/topics/dmp~AN~T116387/Intestinal-atresia-or-stenosis . Updated July 28, 2015. Accessed January 11, 2019.
Surgical repair of the small bowel. The Children’s Hospital of Philadelphia website. Available at: http://chop.edu/treatments/surgical-repair-small-bowel-atresia#.VQMWfdJ4pcQ. Accessed January 11, 2019.
- Reviewer: Michael Woods, MD
- Review Date: 05/2018
- Update Date: 01/08/2019