Современные проблемные вопросы диагностики и хирургического лечения врожденной низкой обструкции тонкой кишки у новорожденных детей (обзор литературы)
DOI:
https://doi.org/10.15574/PP.2016.68.63Ключевые слова:
атрезия тонкой кишки, врожденная кишечная непроходимость, эмбриогенез, диагностика, хирургическое лечение, новорожденные детиАннотация
Статья посвящена актуальной проблеме детской хирургии — врожденной низкой обструкции тонкой кишки у новорожденных детей. На основе анализа современной литературы освещены вопросы этиологии, эмбриогенеза, классификации, патофизиологии, клинического течения, гистологических изменений атрезованого кишечника, прогностических факторов и смертности при врожденной обструкции тонкой кишки у новорожденных детей. Приведены особенности пренатальной и постнатальной диагностики этих новорожденных. Подробно освещены современные подходы к тактике и стратегии оказания хирургической помощи.
Ключевые слова: атрезия тонкой кишки, врожденная кишечная непроходимость, эмбриогенез, диагностика, хирургическое лечение, новорожденные дети.
Библиографические ссылки
Amidhonova SA. 2015. Kriterii vyibora sposoba sozdaniya anastomozov u novorozhdennyih s tonkokishechnoy neprohodimostyu. Dissertatsiya na soiskanie uchenoy stepeni kandidata meditsinskih nauk. 14.01.19. Bashkirskiy gosudarstvennyiy meditsinskiy universitet. Ufa: 124.
Chepurnoy MG, Chepurnoy GI, Katsupeev VB et al. 2014. Znachenie ratsionalno nalozhennyih vyisokih eyunostom v vyihazhivanii detey posle rezektsii tonkoy kishki. Meditsinskiy vestnik Severnogo Kavkaza. 9; 1: 1315.
Bairov GA, Sitkovskiy NB, Topuzov VS et al. 1977. Neprohodimost kishechnika u detey. Kiyiv, Zdorov'ya: 160.
Kling K, Applebaum H, Dunn J et al. 2000. A novel technique for correction of intestinal atresia at the ligament of Treitz. J Pediatr Surg. 35: 353—355. https://doi.org/10.1016/S0022-3468(00)90039-3
Remmington M, Malagelada JR, Zinsmeister A et al. 1983. Abnormalities in gastrointestinal motor activity in patients with short bowels: Effect of a synthetic opiate. Gastroenterology. 85: 629—636.
Abrams JS. 1968. Experimental intestinal atresia. Surgery. 64: 185—191. PMid:5690620
Aharon M, Kleinhaus U, Lichtig C. 1986. Neonatal intramural intestinal calcifications associated with bowel atresia. Am J Roentgenol. 130: 999—1000. https://doi.org/10.2214/ajr.130.5.999; PMid:417613
Amoury RA, Ashcraft KW, Holder TM. 1977. Gastroschisis complicated by intestinal atresia. Surgery. 82: 373—381. PMid:142311
Kurbet SB, Patil HS, Dhaded SM et al. 2012, Jan-Apr. Apple peel jejunal atresia: Successful management of a rare case. J. of the Scientific Society. 39; Is 1.
Holcomb GW III, Murphy JP, Ostlie DJ. 2014. Ashcraft's Pediatric Surgery. 6th Ed. Philadelphia: Еlsevier saunders: 1040.
Baglaj M, Carachi R, Lawther S. 2008. Multiple atresia of the small intestine: A 20-year review. Eur J Pediatr Surg. 18: 13—18. https://doi.org/10.1055/s-2007-965771; PMid:18302063
Basu R, Burge DM. 2004. The effect of antenatal diagnosis on the management of small bowel atresia. Pediatr Surg Int. 20: 177—179. https://doi.org/10.1007/s00383-004-1140-8; PMid:15064963
Brereton RJ. 1988. A lesson in intestinal atresias. J Pediatr Surg. 23: 852—853. https://doi.org/10.1016/S0022-3468(88)80240-9
Chaet MS, Warner BW, Sheldon CA. 1994. Management of multiple jejunoileal atresias with an intraluminal Silastic stent. J Pediatr Surg. 29: 1604—1606. https://doi.org/10.1016/0022-3468(94)90234-8
Smith MB, Smith L, Wells JW et al. 1991. Concurrent jejunal atresia with «apple peel» deformity in premature twins. Pediatr Surg Int. 6: 425—428. https://doi.org/10.1007/BF00185334
Wax JR, Hamilton T, Cartin A et al. 2006. Congenital Jejunal and Ileal Atresia Natural Prenatal Sonographic History and Association With Neonatal Outcome. Ultrasound Med. 25: 337—342. https://doi.org/10.7863/jum.2006.25.3.337
Sumimura J, Nose K et al. 1996. Congenital multiple intestinal atresia successfully treated with multiple anastomoses in a premature neonate: Report of a case. Surg Today. 26: 849—851. https://doi.org/10.1007/BF00311654; PMid:8897693
Shyu MK, Shih JC, Lee HN et al. 2003. Correlation of prenatal ultrasound and postnatal outcome in meconium peritonitis. Fetal Diagn Ther. 18: 255—261. https://doi.org/10.1159/000070806; PMid:12835586
De Lorimier AA, Harrison MR. 1983. Intestinal plication in the treatment of atresia. J Pediatr Surg. 18: 734—737. https://doi.org/10.1016/S0022-3468(83)80014-1
De Luca U, Esposito C, Porreca A. 1995. Intrauterine intussusception as a cause of ileal atresia occurring late during pregnancy. Eur J Pediatr Surg. 5: 116—118. https://doi.org/10.1055/s-2008-1066182; PMid:7612581
Stollman TH, de Blaauw I, Wijnen MH et al. 2009. Decreased mortality but increased morbidity in neonates with jejunoileal atresia; a study of 114 cases over a 34year period. J Pediatr Surg. 44: 217—221. https://doi.org/10.1016/j.jpedsurg.2008.10.043; PMid:19159746
Der Kaloustian VM. 1971. Familial multiple-level intestinal atresias: Report of two siblings. J Pediatr. 79: 124—125. https://doi.org/10.1016/S0022-3476(71)80072-0
Deshmukh SD, Bavikar R, Naik AM. 2012. Jejunal atresia in a neonate due to intrauterine intussusception. Indian Pediatr. 49: 149—150. PMid:22410517
Ademuyiwa AO, Sowande OA, Ijaduola1 TK, Adejuyigbe O. 2009, Jan-June. Determinants of mortality in neonatal intestinal obstruction in Ile Ife, Nigeria. African Journal of Paediatric Surgery. 6; Is 1.
Dickson JA. 1970. Apple peel small bowel: An uncommon variant of duodenal and jejunal atresia. J Pediatr Surg. 5: 595—600. https://doi.org/10.1016/S0022-3468(70)80002-1
Dowling RH. 1982. Small bowel adaptation and its regulation. Scand J Gastroenterol Suppl. 17: 53—74.
Eltayeb AA. 2009. Different Surgical Techniques in Management of Small Intestinal Atresia in High Risk Neonates. Pediatr Surg. 5: 315.
Festen S, Brevoord JC, Goldhoorn GA et al. 2002. Excellent long'term outcome for survivors of apple peel atresia. J Pediatr Surg. 37: 61—65. https://doi.org/10.1053/jpsu.2002.29428; PMid:11781988
Seashore JH, Collins FS, Markowitz RI et al. 1987. Familial apple peel jejunal atresia: Surgical, genetic, and radiographic aspects. Pediatrics. 80: 540—544. PMid:3309863
Khen N, Jaubert F, Sauvat F et al. 2004. Fetal intestinal obstruction induces alteration of enteric nervous system development in human intestinal atresia. Pediatr Res. 56: 975—980. https://doi.org/10.1203/01.PDR.0000145294.11800.71; PMid:15496609
Grosfeld JL, O'Neil JJr, Coran AG. 2006. Jejunoileal Atresia and Stenosis. J Grosfeld, JJr O'Neil, AG Coran (editors). Pediatric Surgery. 6th ed. Philadelphia: Mosby Elsevier. 2: 1269-1287.
Grosfeld JL, Ravitch MM, Welch KJ et al. 1986. Jejunoileal atresia and stenosis, section 3: The small intestine. Pediatric Surgery. Year Book Medical Chicago. 838.
Bilodeau A, Prasil P, Cloutier R et al. 2004. Hereditary multiple intestinal atresia: Thirty years later. J Pediatr Surg. 39: 726—730. https://doi.org/10.1016/j.jpedsurg.2004.01.031; PMid:15137007
Pickard LR, Santoro S, Wyllie RG et al. 1981. Histochemical studies of experimental fetal intestinal obstruction. J Pediatr Surg. 16: 256—260. https://doi.org/10.1016/S0022-3468(81)80675-6
Moore SW, de Jongh G, Bouic P et al. 1996. Immune deficiency in familial duodenal atresia. J Pediatr Surg. 31: 1733—1735. https://doi.org/10.1016/S0022-3468(96)90066-4
Moore SW, Rode H, Millar AJW et al. 1990. Intestinal atresia and Hirschsprung's disease. Pediatr Surg Int. 5: 182—184. https://doi.org/10.1007/BF00179658
Dalla Vecchia LK, Grosfeld JL, West KW et al. 1998. Intestinal atresia and stenosis: A 25-year experience with 277 cases. Arch Surg. 133: 490—496. https://doi.org/10.1001/archsurg.133.5.490; PMid:9605910
Taieb Chouikh, Awatef Charieg, Chaima Mrad et al. 2014. Intestinal atresia caused by intrauterine intussusception: A case report and literature review. J Ped Surg Case Reports. 2: 203—205. https://doi.org/10.1016/j.epsc.2014.04.002
Koga Y, Hayashida Y, Ikeda K et al. 1975. Intestinal atresia in fetal dogs produced by localized ligation of mesenteric vessels. J Pediatr Surg. 10: 949—953. https://doi.org/10.1016/S0022-3468(75)80101-1
Piper HG, Alesbury J, Waterford SD et al. 2008, Jul. Intestinal atresias: factors affecting clinical utcomes. J Pediatr Surg.43(7): 1244—1248. https://doi.org/10.1016/j.jpedsurg.2007.09.053; PMid:18639676
Yang J, Kim H, Chang K et al. 2004. Intrauterine intussusception presenting as fetal ascites at prenatal ultrasonography. Am J Perinatol. 21: 241—246. https://doi.org/10.1055/s-2004-828607; PMid:15168324
Wit J, Sellin S, Degenhardt P et al. 2000. Is the Bishop Koop anastomosis in treatment of neonatal ileus still current? Chirurg. 71; 3: 307—310. https://doi.org/10.1007/s001040051055; PMid:10789048
Jimenez FA, Reiner L. 1961. Arteriographic findings in congenital abnormalities of the mesentery and intestines. Surg Gynecol Obstet. 113: 346—352. PMid:13790083
Khalaf AA. 2010. Atresia A study of 60 cases in children welfare teaching hospital. J Fac Med Baghdad. 52;3.
Kimura K, Perdzynski W, Soper RT. 1996. Elliptical seromuscular resection for tapering the proximal dilated bowel in duodenal or jejunal atresia. J Pediatr Surg. 31: 1405—1406. https://doi.org/10.1016/S0022-3468(96)90839-8
Komuro H, Hori T, Amagai T et al. 2004. The etiologic role of intrauterine volvulus and intussusception in jejunoileal atresia. J Pediatr Surg. 39: 1812—1814. https://doi.org/10.1016/j.jpedsurg.2004.08.037; PMid:15616938
Laufman H, Martin WB, Method H. 1949. Observations in strangulation obstruction, the fate of sterile devascularized intestine in the peritoneal cavity. Arch Surg. 59: 550—564. https://doi.org/10.1001/archsurg.1949.01240040558019; PMid:18138067
Louw JH. 1952. Congenital intestinal atresia and severe stenosis in the newborn. S Afr J Clin Sci. 3: 109—129. PMid:12995090
Louw JH. 1959. Congenital intestinal atresia and stenosis in the newborn. Observations on its pathogenesis and treatment. Ann R Coll Surg Engl. 25: 209—234. PMid:14418455 PMCid:PMC2413911
Louw JH. 1959. Congenital intestinal atresia and stenosis in the newborn. Observations on its pathogenesis and treatment. Ann R Coll Surg Engl. 25: 209—234. PMid:14418455 PMCid:PMC2413911
Louw JH. Barnard CN. 1955. Congenital intestinal atresia: Observations on its origin. Lancet. 269: 1065—1067. https://doi.org/10.1016/S0140-6736(55)92852-X
Snyder CL, Miller KA, Sharp RJ et al. 2001. Management of intestinal atresia in patients with gastroschisis. J Pediatr Surg. 36: 1542—1545. https://doi.org/10.1053/jpsu.2001.27040; PMid:11584405
Vikal C, Shakya et al. 2010. Management of jejunoileal atresias: an experience at eastern Nepal. BMC Surg. 10: 35. https://doi.org/10.1186/1471-2482-10-35; PMid:21108847 PMCid:PMC3004834
McKee MA. 2004. Jejunoileal Atresia. Edsitors KT Oldham, PM Colombani, RP Foglia et al. Principles and Practice of Pediatric Surgery. Lippincott Williams & Wilkins Philadelphia: 1149.
Moore KL. 2007.The digestive system. The Developing Human. WB Saunders Philadelphia. 8th ed: 218.
Guttman FM, Braun P, Garance PH et al. 1973. Multiple atresias and a new syndrome of hereditary multiple atresias involving the gastrointestinal tract from stomach to rectum. J Pediatr Surg. 8: 633—640. https://doi.org/10.1016/0022-3468(73)90401-6
Baglaj SM, Czernik J, Koryszko J et al. 2001. Natural history of experimental intestinal atresia: Morphologic and ultrastructural study. J Pediatr Surg. 36: 1428—1434. https://doi.org/10.1053/jpsu.2001.26392; PMid:11528622
Nicolini U, Monni G. 1990. Intestinal obstruction in babies exposed in-utero to methylene blue. Lancet. 336: 1258—1259. https://doi.org/10.1016/0140-6736(90)92879-M
Nusinovich Y, Revenis M, Torres C. 2013, Sep. Long-term outcomes for infants with intestinal atresia studied at Children's National Medical Center. J Pediatr Gastroenterol Nutr. 57(3): 324-329. https://doi.org/10.1097/MPG.0b013e318299fd9f; PMid:23666458
Ogunyemi D. 2000. Prenatal ultrasonographic diagnosis of ileal atresia and volvulus in a twin pregnancy. J Ultrasound Med. 19: 723—726. https://doi.org/10.7863/jum.2000.19.10.723; PMid:11026587
Komuro H, Amagai T, Hori T et al. 2004. Placental vascular compromise in jejunoileal atresia. J Pediatr Surg. 39: 1701—1705. https://doi.org/10.1016/j.jpedsurg.2004.07.016; PMid:15547837
Puri P, Fujimoto T. 1988. New observations on the pathogenesis of multiple intestinal atresias. J Pediatr Surg. 23: 221—225. https://doi.org/10.1016/S0022-3468(88)80726-7
Ramanujan TM. 1984. Functional capability of blind small bowel loops after intestinal remodeling techniques. Aust NZ J Surg. 54: 145—150. https://doi.org/10.1111/j.1445-2197.1984.tb06706.x; PMid:6378163
Reguerre Y, de Dreuzy O, Boithias C et al. 1997. An unknown etiology of fetal ascites: acute intestinal intussusception. Arch Pediatr. 4: 1197—1199. PMid:9538422
Rode H, Puri P. 2003. Jejuno-ileal atresia and stenosis. Newborn Surgery. Hodder Arnold London. 2nd ed: 445. https://doi.org/10.1201/b13479-53
Suri M, Langer JC. 2011. A comparison of circumbilical and transverse abdominal incisions for neonatal abdominal surgery. J Pediatr Surg. 46: 1076—1080. https://doi.org/10.1016/j.jpedsurg.2011.03.032; PMid:21683201
Sweeney B, Surana R, Puri P. 2001. Jejunoileal atresia and associated malformations: Correlation with timing of in-utero insult. J Pediatr Surg. 36: 774—776. https://doi.org/10.1053/jpsu.2001.22958; PMid:11329587
Davies MR, Louw JH, Cywes S et al. 1982. The classification of congenital intestinal atresias. Letter. J Pediatr Surg. 17: 224. https://doi.org/10.1016/S0022-3468(82)80313-8; https://doi.org/10.1016/S0022-3468(82)80314-X
Tibboel D, van der Kamp AW, Molenaar JC. 1982. An experimental study of the effect of an intestinal perforation at various developmental stages. Z Kinderchir. 37: 62—66. https://doi.org/10.1055/s-2008-1059818
Todani T, Tabuchi K, Tanaka S. 1975. Intestinal atresia due to intrauterine intussusception: analysis of 24 cases in Japan. J Pediatr Surg. 10: 445—451. https://doi.org/10.1016/0022-3468(75)90183-9
Touloukian RJ. 1978. Intestinal atresia. Clin Perinatol. 5: 3—18. PMid:657706
Kumaran N, Shankar KR, Lloyd DA et al. 2002. Trends in the management and outcome of jejuno-ileal atresia. Eur J Pediatr Surg. 12: 163—167. https://doi.org/10.1055/s-2002-32726; PMid:12101497
Tsujimoto K, Sherman FE, Ravitch MM. 1972. Experimental intestinal atresia in the rabbit fetus. Sequential pathological studies. Johns Hopkins Med J. 131: 287—297. PMid:5081731
Shimotake T, Go S, Tsuda T, Iwai N. 2000. Ultrasonographic detection of intrauterine intussusception resulting in ileal atresia complicated by meconium peritonitis. Pediatr Surg Int. 16: 43—44. https://doi.org/10.1007/s003830050011; PMid:10663833
Vanderhoof RS. 1966. Jejunal atresia with agenesis of the dorsal mesentery with «Christmas tree» deformity of the small intestine. Am J Surg. 111: 443—449. https://doi.org/10.1016/S0002-9610(66)80024-7
Waldhausen JH, Sawin RS. 1997. Improved long-term outcome for patients with jejuno-ileal apple peel atresia. J Pediatr Surg. 32: 1307—1309. https://doi.org/10.1016/S0022-3468(97)90308-0
Werler MM, Sheehan JE, Mitchell AA. 2003. Association of vasoconstrictive exposures with risks of gastroschisis and small intestinal atresia. Epidemiology. 14: 349—354. https://doi.org/10.1097/00001648-200305000-00016; https://doi.org/10.1097/01.EDE.0000059226.36219.DE; PMid:12859037
