{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T13:06:16Z","timestamp":1763643976447,"version":"3.40.5"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>\n            Objective\u2003To evaluate the outcomes of jejunal turnover and bowel plication (JTBP) in high jejunal atresia of neonates.<\/jats:p><jats:p>\n            Materials and Methods\u2003The clinical data of neonates that met the criteria were retrospectively analyzed from January 2012 to December 2021. The neonates were divided into the JTBP group and control group according to the surgical procedure. Demographics, postoperative morphology of the duodenum and proximal jejunum, intestinal recovery time, and complications were compared.<\/jats:p><jats:p>\n            Results\u2003A total of 75 patients were allocated to the JTBP (n\u2009=\u200930) and control (n\u2009=\u200945) groups, respectively. There was no significant difference between the two groups in terms of gestational age, birth weight, age at surgery, the pathological classification, and concomitant disease. Upper gastrointestinal contrast study showed that the diameter of the proximal bowel of the anastomotic stoma was normal and the duodenum and proximal jejunum were in streamline shape in the JTBP group. While the duodenum was dilated, the shape of Trojan angle was classified into sharp angle and blunt round angle in the control group. The duration of total parenteral nutrition, postoperative oral feeding time, and oral feeding time of 40\u2009mL\/3\u2009h were significantly different between the JTBP group and control group (sharp and blunt round type): 9.0\u2009\u00b1\u20093.5, 7.0\u2009\u00b1\u20092.1, and 11.0\u2009\u00b1\u20096.0 versus 16.9\u2009\u00b1\u20094.2, 14.0\u2009\u00b1\u20095.0, and 19.0\u2009\u00b1\u20097.4 versus 11.9\u2009\u00b1\u20098.3, 8.2\u2009\u00b1\u20093.9, and 15.8\u2009\u00b1\u20093.6 days (p\u2009&lt;\u20090.05).<\/jats:p><jats:p>\n            Conclusions\u2003JTBP for neonatal high jejunal atresia can significantly change the diameter of the proximal bowel and the course of duodenum jejunum flexure. Postoperative bowel movement was more in line with fluid dynamics, which was conducive to the recovery of the intestinal function and resulted in fewer complications.<\/jats:p>","DOI":"10.1055\/a-2155-7781","type":"journal-article","created":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T22:48:59Z","timestamp":1692312539000},"page":"219-223","source":"Crossref","is-referenced-by-count":1,"title":["Application of Jejunal Turnover and Bowel Plication Technique in Neonatal High Intestinal Atresia: A Retrospective Study"],"prefix":"10.1055","volume":"35","author":[{"given":"Yu","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Emergency, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhibo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pengjun","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,27]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1007\/s00383-012-3131-5","article-title":"Clinical experience of complex jejunal atresia","volume":"28","author":"S H Lee","year":"2012","journal-title":"Pediatr Surg Int"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.jpedsurg.2008.10.043","article-title":"Decreased mortality but increased morbidity in neonates with jejunoileal atresia; a study of 114 cases over a 34-year period","volume":"44","author":"T H Stollman","year":"2009","journal-title":"J Pediatr Surg"},{"key":"ref3","first-page":"103471","article-title":"Intestinal flow after anastomotic operations in neonates","volume":"18","author":"I Yasumasa","year":"2020","journal-title":"Comput Biol Med"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1080\/00015458.2009.11680535","article-title":"One-step management of apple-peel atresia","volume":"109","author":"L Harper","year":"2009","journal-title":"Acta Chir Belg"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"207","DOI":"10.4103\/0971-9261.59603","article-title":"Concavo-convex oblique anastomosis technique for jejuno ileal atresia","volume":"14","author":"Z Hasan","year":"2009","journal-title":"J Indian Assoc Pediatr Surg"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1093\/gastro\/goz026","article-title":"Comparison of outcomes following three surgical techniques for patients with severe jejunoileal atresia","volume":"7","author":"Y F Peng","year":"2019","journal-title":"Gastroenterol Rep (Oxf)"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jss.2019.08.014","article-title":"Is tapering enteroplasty an alternative to resection of dilated bowel in small intestinal atresia?","volume":"246","author":"L C Dewberry","year":"2020","journal-title":"J Surg Res"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/S1875-9572(10)60052-6","article-title":"Duodenal derotation and extent tapering jejunoplasty as primary repair for neonates with high jejunal atresia","volume":"51","author":"C C Luo","year":"2010","journal-title":"Pediatr Neonatol"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"927","DOI":"10.2214\/AJR.20.23273","article-title":"Ligament of Treitz: anatomy, relevance of radiologic findings, and radiologic-pathologic correlation","volume":"216","author":"S Nassar","year":"2021","journal-title":"AJR Am J Roentgenol"},{"issue":"19","key":"ref10","doi-asserted-by":"crossref","first-page":"e15459","DOI":"10.1097\/MD.0000000000015459","article-title":"Bowel plication in neonatal high jejunal atresia","volume":"98","author":"S Yang","year":"2019","journal-title":"Medicine (Baltimore)"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2155-7781.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T23:05:27Z","timestamp":1747263927000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2155-7781"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,17]]},"references-count":10,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,5,14]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2155-7781","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"type":"print","value":"0939-7248"},{"type":"electronic","value":"1439-359X"}],"subject":[],"published-other":{"date-parts":[[2023,8,17]]},"published":{"date-parts":[[2023,8,17]]}}}