JPSB logo
Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 3 No. 1 (2012)

Bishop Koop Technique is Preferred than Primary Anastomosis in Managing Jejunoileal Atresia in a Setup without Neonatal Intensive Care Unit - Our Initial Experience

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2012
CONTENTSVolume 03Number 1January 2012
Editorial
Gastric Transposition in Long- Gap Esophageal Atresia
Md Abu Jafor
01
Review Articles
Spina Bifida and Hydrocephalus in children: Role of a Paediatric Surgeon
Md Tosadeque Hossain Siddiqui, Shoheli Alam, Zeba Ahmed
37
Original Articles
Bishop Koop Technique is Preferred than Primary Anastomosis in Managing Jejunoileal Atresia in a Setup without Neonatal Intensive Care Unit - Our Initial Experience
MA Mushfiqur Rahman, Md Abdullah Al Farooq, Md Akbar Husain Bhuiyan, Minhajuddin Sajid, Tanvir K Chowdhury, Golam Habib
05
Preputial Dartos Reinforced Snodgrass Tubularized Incised Plate Urethroplasties in Distal Hypospadias to Prevent Urethrocutaneous Fistula
Md Shah Alam Talukder, Debesh Ch Talukder, Md Abdullah Al Mahmud, Mohammed Showkot Ali, Nadiuzzaman Khan, Shankar Chandra Das, Sangul Islam, Md Shafiqul Bari
12
Short Term Outcome of Palliative Measures Taken for Clinically Labeled Unresectable Carcinoma Pancreas
Md Abdullah Al Farooq, MA Mushfiqur Rahman, Tania Tajreen, Mohammad Ali
18
An Audit of the Patients Treated in Paediatric Surgery Department of Ad-din Women’s Medical College Hospital, Dhaka
Musrat Rahman, Rezaul Islam, SM A Alim
26
Comparison between the Outcome of Tunica Vaginalis Blanket Wrap and Non-wrap Procedures in Urethroplasty
Mohammad Minhajuddin Sajid, Md Shahid Karim
30
Case Reports
Inflammatory Myofibroblastic Tumour in Antimesenteric Border of Descending Colon of Children: A Case Report
Shahnoor Islam, AKM Amirul Morshed, Afiqul Islam
47
Subcutaneous Emphysema: A Rare Postoperative Complication after Tonsillectomy
Manilal Aich Litu, Nurul Karim Chowdhury, Mohammad Amzad Hossain, Abdullah Al Mamun, Mashuque Mahmud, Dipali Bishwas, Utpal Kumar Dutta, Md Zahedul Alam
51
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
View Contents

Authors

  • MA Mushfiqur RahmanAssistant Professor, Department of Pediatric Surgery, Chittagong Medical College and Hospital, Chittagong
  • Md Abdullah Al FarooqAssistant Professor, Department of Pediatric Surgery, Chittagong Medical College and Hospital, Chittagong
  • Md Akbar Husain BhuiyanAssociate Professor, Department of Pediatric Surgery, Chittagong Medical College and Hospital, Chittagong
  • Minhajuddin SajidAssistant professor, Department of Pediatric Surgery, Chittagong Medical College and Hospital, Chittagong
  • Tanvir K ChowdhuryMS final part student, Department of Pediatric Surgery, Chittagong Medical College and Hospital, Under Chittagong University, Chittagong
  • Golam HabibMS final part student, Department of Pediatric Surgery, Chittagong Medical College and Hospital, Under Chittagong University, Chittagong

Keywords

Bishop Koop technique Jejunoileal atresia NICU

Abstract

Background: Neonatal intestinal obstruction due to jejunoileal atresia is not uncommon. Recommended treatment is resection with end to back anastomosis and post operative care in Neonatal Intensive Care Unit (NICU) with Total Parenteral Nutrition (TPN) support. In a setup without NICU and TPN, mortality of primary anastomosis is very high due to unusual delay in starting enteral feeding. Bishop Koop technique seems to allow early oral feeding and rapid establishment of normal gastrointestinal function and thus reduce mortality and morbidity. Objective: To find out the outcome of Bishop Koop procedure in patients with Jejunoileal atresia. Methods: This is an ongoing study started from March, 2011 in the Department of Pediatric Surgery, Chittagong Medical College Hospital. Here we are presenting our initial experience till June, 2012 (duration of 16 months). During this period total 13 patients of uncomplicated Jejunoileal atresia was treated surgically. Four patients were treated by classical end to oblique anastomosis and all died. Rest of the 9 patients were treated by Bishop Koop technique. Overall outcome of this technique was assessed considering time to establish oral feeding and normal bowel movement, ceasation of coming distal stomas effluent, weight gain, death etc. Result: Out of 9 patients, 6 patients weighing less than 2.5 Kg. Type- III A was the commonest variant. Two patients died following surgery due to sepsis. Oral feeding was possible within 4-7 postoperative day in all survived patients except one. In follow up satisfactory weight gain was observed in all those patients. Conclusion: Bishop Koop technique could be considered as preferred surgical option in a set up without NICU and TPN.

Journal of Paediatric Surgeons of Bangladesh (2012) Vol. 3 (1): 5–11

Read full article (PDF)