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Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
Primary anastomosis with or without T-tube enterostomy in jejuno-ileal atresia - a comparative study
Abstract
Aims: Various surgical procedures are in practice for the management of jejuno-ileal atresia. Most used technique is resection of dilated segment of gut and primary anastomosis. But mortality and morbidity still remains high. Primary anastomosis with T- tube enterostomy is a recent concept for the treatment of jejuno-ileal atresia. It seems to offer important advantages over other surgical techniques. The aim of this study was to evaluate the effectiveness of T-tube enterostomy to reduce morbidity and mortality of neonate suffering from jejuno-ileal atresia.
Methods: It was a prospective comparative interventional study which was conducted in Bangladesh Shishu (Children) Hospital from March 2017 to September 2019. A total of 54 patients with uncomplicated jejuno-ileal atresia were selected for this study after fulfillment of inclusion and exclusion criteria. They were randomly assigned to primary anastomosis with T-tube enterostomy group (group A=26) and primary anastomosis without T-tube enterostomy group (group B=28). The comparative parameters between two groups were start of post-operative bowel movement, establishment of complete oral feeding, duration of hospital stay, anastomotic leakage and mortality. All patients were followed up for 6 months post operatively.
Results: The age range of the patients was 2 to 10 days where majority of the patients were male. Most of the patients were male in both groups. After operation, mean time to start bowel movement of group A 4.68±1.21 days and group B 5.29±1.82 days and there was no significant statistical difference. Time to establish complete oral feeding of group A (9.04±1.43 days) and group B (10.38±2.18 days) showed significant difference (p=xv 0.016). Rate of anastomotic leakage in group A was 7.7% and group B was 32.1% which was statistically significant (p=0.041). Rate of mortality was higher in group B (32.1%) compared to group A (7.7%) which was statistically significant (p=0.026). Time of post- operative hospital stay in group A (14.19±2.22 days) and group B (16.39±3.97 days) showed significant difference (p=0.015).
Conclusion: Primary anastomosis with T-tube enterostomy was found as an effective procedure to reduce morbidity and mortality of patients with jejuno-ileal atresia.

Keywords : T-tube enterostomy, jejuno-ileal atresia, intestinal obstruction

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Article available in :
Volume 3, Issue 3, 2026
Page : 71-76
https://doi.org/10.51271/SOC-0074
Article Information
Received : 03 Mar 2026
Accepted : 17 Nis 2026
Published : 29 Tem 2026
Corresponding Author :

Abdullah Al Faisal: Department of Pediatric Surgery, Shaheed Suhrawardy Medical College & Hospital, Dhaka, Bangladesh

[email protected]
Citation : Al Faisal A, Tarannum T, Mitul AR. Primary anastomosis with or without T-tube enterostomy in jejuno-ileal atresia-a comparative study. Surg Child. 2026;3(3):71-76. doi:10.51271/SOC-0074

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