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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 12 No. 1-2 (2021)

Comparative Outcomes of the Bishop Koop Procedure and Primary Anastomosis in Jejunoileal atresia

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2021
CONTENTSVolume 12Number 1 & 2January - July 2021
Editorial
Birth defects: a challenge of Neonatal surgery
Md Tosaddeque Hossain Siddiqui
01
Original Articles
Comparative Outcomes of the Bishop Koop Procedure and Primary Anastomosis in Jejunoileal atresia
Fatema Sayeed, Md Ashraf Ul Huq, Md Tawhidul Islam, Bipul Bhusan Das, Samiul Hasan
03
Understanding the Unseen Burden of Common Health Problems of School-going Children in Sub-urban Area: Insights from a Single-day Health Programme
Arpita Biswangree, Md Fahadul Islam, Rifah Sanjeedah Tahsin, Rahatil Asyekin Raha, Mustari Nailah Tabassum, Bijita Biswangree, Zarrin Tasnim Anwar, Debjyoti Barua, Tarannum Mahmood, Md Sharif Imam, Tahmina Banu
10
Perspective Determination of the relationship between Bacteriuria and D-J Stent Colonization due to the indwelling of D-J Stent following A-H Pyeloplasty
Md Sharif Imam, Tanvir Kabir Chowdhury, Md Khurshid Alam Sarwar, Md Abdullah Al Farooq
17
Advancement in Paediatric Laparoscopic Surgery: Two Years’ Experience in A Tertiary Level Medical College Hospital in Bangladesh
Md Shahin Reza, Md Samidur Rahman, Elora Afroz Leema, Mashkurul Alam Minar, Mohammad Mahabubul Alam, Umma Fatema
24
Outcomes and Predictors of Ventriculoperitoneal Shunt Failure in Children with Hydrocephalus
Md Delwar Hossain, Ferdous K M N, Rahman A
30
Impact of single dose versus multidose prophylactic use of antibiotics in elective inguinal herniotomy in children: A prospective study
Muhammad Mizanur Rahman Shibli, Mahabur Rahman Sarker, Md Moniruzzaman, S M Noor E Shadid, A K M Mahbub Alam
37
Case Reports
Staged Pediatric Scalp Reconstruction for Extensive Lacerations with Necrosis Following Agricultural Machinery Injury: A Case Report
Aminur Rashid Sangeet, Ashik Ahsan, Kamrul Islam Mamun, Tazin Ahsan
41
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Fatema SayeedAssistant Professor, Department of Pediatric Urology, Dhaka Medical College Hospital
  • Md Ashraf Ul HuqProfessor, Pediatric Surgery, Green Life Medical College Hospital, Dhaka
  • Md Tawhidul IslamAssociate Professor & Head, Department of Pediatric Surgery, Sylhet M.A.G. Osmani Medical College, Sylhet
  • Bipul Bhusan DasAssistant Professor, Dhaka Medical College Hospital
  • Samiul HasanAssistant Professor, Department of Pediatric Surgery, Bangladesh Shishu Hospital & Institute, Dhaka

Keywords

Bishop Koop procedure Primary anastomosis Jejunoileal atresia

Abstract

Background: Jejunoileal atresia is a common congenital anomaly of the small intestine. The most widely practiced surgical approach is resection of the dilated and hypertrophied proximal bowel followed by primary anastomosis. However, to mitigate the complications associated with primary anastomosis, the Bishop Koop procedure remains a valuable alternative—particularly in developing countries, where access to advanced NICU care and total parenteral nutrition is often limited. Methods: A quasi-experimental study conducted at Dhaka Medical College Hospital between July 2017 and June 2019 including 50 pediatric patients with jejunoileal atresia. Participants were randomly selected to receive either Bishop Koop ileostomy (Group A) or primary anastomosis (Group B). Primary outcomes were operation time, bowel movement time, time to establish oral feeding, duration of hospital stay, and complication rates. Results: Group A showed significantly shorter hospital stay duration (8.40 vs 11 days, p=0.004), and fewer complications compared to Group B. The mortality rate in Group A was lower (12% vs. 40%, p=0.024). Anastomotic leakage occurred in 8% of Group A compared to 40% in Group B (p=0.008). In the adjusted bivariate regression analysis model, the likelihood of hospitalization >8 days was determined to be 10 times (95% CI 2.356-46.578) longer in group B than in group A. Conclusion: Bishop Koop ileostomy is associated with improved outcomes, in respect of less hospital stay duration, less complication and lower mortality. These outcomes making it a preferred approach for high-risk neonates with jejunoileal atresia.

Journal of Paediatric Surgeons of Bangladesh (2021) Vol. 12 (1 & 2): 3–9

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