{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:45:39Z","timestamp":1772639139384,"version":"3.50.1"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,4,13]],"date-time":"2022-04-13T00:00:00Z","timestamp":1649808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Gastroschisis is a closure defect of the abdominal wall classified as complex when it presents with necrosis, volvulus, or atresia of the gastrointestinal tract. Jejunoileal atresia is caused by abnormal closure, discontinuity, or narrowing of the intestine. Apple Peel or type IIIb is the rarest presentation, with an incidence of 1.3 per 10,000 live births. In addition to presenting a high mortality rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>We present a preterm newborn patient of 30 weeks with a diagnosis of gastroschisis and jejunoileal atresia type IIIB. The congenital wall defect was closed in the first surgical stage, and he was then taken at four weeks to correct the atresia. In the second surgery, we found a difference in intestinal calibers of 8:1, and the surgical team decides to perform remodeling of the proximal sac with a mechanical stapler and perform anastomosis using the Santulli technique.<\/jats:p>\n                    <jats:p>On day 6 of life, enteral feeding began through a nutrition tube localized under intestinal anastomosis with progressive nutritional increase.<\/jats:p>\n                    <jats:p>Subsequently, intermittent and progressive occlusion of the stoma was performed, leading the patient to a definitive surgical closure one month later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The mortality rate for gastroschisis and complex intestinal atresia is high. Advances in prenatal diagnosis, neonatal intensive care, and proper surgical correction are crucial to improving survival rates. The Santulli procedure is a surgical alternative for intestinal atresias with a caliber discrepancy greater than 4 to 1 or when the characteristics of the distal part do not allow a primary anastomosis to be performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107095","type":"journal-article","created":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T13:12:32Z","timestamp":1650373952000},"page":"107095","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Complex gastroschisis with apple peel jejunoileal atresia, primary closure, and Santulli procedure as a surgical alternative. Case report"],"prefix":"10.1097","volume":"94","author":[{"given":"Jos\u00e9 Luis","family":"Castillo - Clavijo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricio F","family":"G\u00e1lvez - Salazar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"\u00c1ngel-Correa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Monta\u00f1ez-Azc\u00e1rate","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego Alfredo","family":"Palta - Uribe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Mauricio","family":"Figueroa - Guti\u00e9rrez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-98-20260304","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. 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Pract"},{"key":"R6-98-20260304","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.1002\/bdr2.1145","article-title":"Population-based birth defects data in the United States, 2010-2014: a focus on gastrointestinal defects","volume":"109","author":"Lupo","year":"2017","journal-title":"Birth Defects Res"},{"key":"R7-98-20260304","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1016\/j.earlhumdev.2014.09.017","article-title":"Malrotation and intestinal atresias","volume":"90","author":"Adams","year":"2014","journal-title":"Early Hum. Dev"},{"key":"R8-98-20260304","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/S0022-3468(79)80502-3","article-title":"Operative management of intestinal atresia and stenosis based on pathologic findings","volume":"14","author":"Grosfeld","year":"1979","journal-title":"J. Pediatr. Surg"},{"key":"R10-98-20260304","first-page":"124","article-title":"New simple low-cost surgical approach to complex jejuno-ileal atresia","volume":"50","author":"Pan","year":"2020","journal-title":"Trop. Dr"},{"key":"R11-98-20260304","first-page":"939","article-title":"Congenital atresia of the intestine: pathogenesis and treatment","volume":"154","author":"Santulli","year":"1961","journal-title":"Ann. Surg"},{"key":"R12-98-20260304","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1007\/s00383-004-1275-7","article-title":"The santulli enterostomy in necrotising enterocolitis","volume":"20","author":"Vanamo","year":"2004","journal-title":"Pediatr. Surg. Int"},{"key":"R13-98-20260304","doi-asserted-by":"crossref","first-page":"84","DOI":"10.3390\/children9010084","article-title":"Santulli procedure revisited in congenital intestinal malformations and postnatal intestinal injuries: preliminary report of experience","volume":"9","author":"Vinit","year":"2022","journal-title":"Children"},{"key":"R14-98-20260304","doi-asserted-by":"crossref","first-page":"1989","DOI":"10.1016\/j.jpedsurg.2018.02.059","article-title":"Ostomy in continuity: a novel approach for the management of children with complex short bowel syndrome","volume":"53","author":"Sehgal","year":"2018","journal-title":"J. Pediatr. Surg"},{"key":"R16-98-20260304","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1097\/MPG.0b013e3181a118ef","article-title":"Role of the colon in short bowel syndrome and intestinal transplantation","volume":"48","author":"Goulet","year":"2009","journal-title":"J. Pediatr. Gastroenterol. 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