Abstract
In high jejunal atresia, the functional intestinal obstruction occurs. We describe here a good technique of tapering duodenojejunoplasty, special anastomosis and colon mobilization. At surgery, on the first day of life, the bowel proximal to the obstruction became greatly dilated. A tapering duodenojejunoplasty of the proximally dilated segment was accomplished. In the distal part of the dilated intestine, the tapering jejunoplasty was not achieved so that the suture line was not involved in the following anastomosis. An end-to-end anastomosis was then performed. The right colon was mobilized, the ligament of Treitz was divided, and the retrocolic portion of the duodenum and jejunum were brought to the right of the superior mesenteric vessels. The patient has been doing well without functional intestinal obstruction. We can therefore recommend this procedure.
