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Journals / Anatolian Current Medical Journal / 2026 / Volume: 7 Issue: 1

Evaluation of prenatal-postnatal outcomes and risk factors in fetal jejunoileal atresia

Ümit Taşdemir(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICS)0000-0001-9745-6327
Ömer Gökhan Eyisoy(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICS)0000-0003-0869-4660
Murad Gezer(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICS)0000-0002-1066-6055
Ayşenur Cerrah Celayir(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICS)0000-0002-7809-4137
Mucize Eriç Özdemir(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICS)0000-0002-2177-0771
Oya Demirci(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ZEYNEP KAMİL HEALTH RESEARCH CENTER FOR GYNAECOLOGY AND PEDIATRICS)0000-0001-5578-4437
Pages
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Publication Date
2025-01-10
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Therefore, it is very important that the delivery and particularly surgical procedure should be performed by an experienced surgical team in well-equipped centers.

📌 3 Key Takeaways

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Objective & Hypothesis:Aims: The aim of the current study is to reveal ultrasonographic and clinical features, evaluation of prenatal-postnatal outcomes and risk factors of fetal jejunoileal atresia.
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Key Findings & Data:Methods: This retrospective study evaluated all cases of fetal jejunoileal atresia identified between 2018 and 2024 at a tertiary centre of maternal-fetal medicine.
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Conclusion & Impact:Therefore, it is very important that the delivery and particularly surgical procedure should be performed by an experienced surgical team in well-equipped centers.
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Fetal jejunoileal atresia · prenatal diagnosis · outcome

Abstract

Aims: The aim of the current study is to reveal ultrasonographic and clinical features, evaluation of prenatal-postnatal outcomes and risk factors of fetal jejunoileal atresia. Methods: This retrospective study evaluated all cases of fetal jejunoileal atresia identified between 2018 and 2024 at a tertiary centre of maternal-fetal medicine. In all cases, the pediatric surgery team confirmed the definitive diagnosis of jejunoileal atresia during the postnatal period. The cohort was divided into two groups, the "poor outcome" and "good outcome", in order to compare and evaluate risk factors determining the outcome. Results: During the study period, a total of 18 cases were recorded. All cases in the cohort managed to reach live birth. 15 (83.3%) neonates survived after the surgical procedure, whereas 3 (16.7%) neonates were deceased during the post-operative period. Short bowel syndrome was diagnosed in 2 (11.1%) living cases during postoperative follow-ups. <80 cm intact bowel length predicts poor outcome with 80% sensitivity and 92.3% specificity (p<0,015). The distance of the most proximal point of atresia to Treitz <40 cm predicts poor outcome with 80% sensitivity and 69.2% specificity (p<0,025). Conclusion: Fetal jejunoileal atresia still has high mortality and morbidity rates despite improved technology, surgical techniques and advanced postoperative care. Therefore, it is very important that the delivery and particularly surgical procedure should be performed by an experienced surgical team in well-equipped centers.

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Cite This Article

Taşdemir, Ü., Eyisoy, Ö. G., Gezer, M., Celayir, A. C., Özdemir, M. E., Demirci, O. (2025). Evaluation of prenatal-postnatal outcomes and risk factors in fetal jejunoileal atresia. Anatolian Current Medical Journal, Volume: 7 Issue: 1. https://doi.org/10.38053/acmj.1602139

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