2020 Volume 56 Issue 3 Pages 273-278
Purpose: The aim of this study was to elucidate the clinical features and treatment outcomes of infants with acquired colonic stenosis or colonic atresia.
Methods: We reviewed the medical records of patients with acquired colonic stenosis or colonic atresia, who were treated in our hospital between July 2009 and June 2019. The underlying disease, the localization and histopathological findings of lesions, and treatment outcomes were retrospectively reviewed from medical charts.
Results: Six infants (3 males, 3 females) were included in this study. The median birth weight was 2,857 (588–3,722) g. The underlying diseases were ischemic colitis due to congenital heart disease in three patients, septic shock following intestinal perforation in two, and obstruction of bilateral common iliac arteries in one. The median duration from the onset of the underlying disease until the diagnosis of colonic stenosis or atresia was 77 (30–101) days. Single lesions were found in four patients and multiple lesions in two. The two patients who had sepsis as an underlying disease had multiple lesions. Five patients underwent surgery, and one was treated conservatively. Among the five surgically treated patients, three underwent laparotomy and the remaining two underwent single-incision laparoscopic surgery.
Conclusions: We concluded that infants with acquired colonic stenosis or colonic atresia due to intestinal ischemia should be treated carefully as multiple lesions may occur and may progress within three months of the onset of an underlying disease.
