{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T19:41:30Z","timestamp":1779306090744,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T00:00:00Z","timestamp":1657670400000},"content-version":"vor","delay-in-days":193,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To determine the incidence and risk factors for late severe intestinal complications after surgical repair for intra\u2010abdominal congenital intestinal atresia\/stenosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included 51 patients who underwent surgical repair for congenital intestinal atresia\/stenosis. Late severe intestinal complications included adhesive ileus, incisional hernia, or volvulus. Whether surgical intervention was urgent or not was recorded. The location of the atresia\/stenosis was classified into two groups: atresia\/stenosis located at the oral or anal side from the Treitz ligament. The type of atresia\/stenosis was classified as low\u2010risk types (type I, mucosal web\/II, fibrous cord\/IIIa, mesenteric gap defect) and high\u2010risk types (IIIb, apple peel\/IV, multiple atresia). We compared the incidence of late intestinal complications between the location of intestinal atresia\/stenosis at the oral and anal side of Treitz ligament, and between low\u2010 and high\u2010risk types of atresia\/stenosis using Fisher's exact test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight (15.7%) had late intestinal complications, all of which occurred in patients with intestinal atresia\/stenosis located on the anal side of the ligament of Treitz. Urgent surgical intervention was needed in four cases. There was a significant difference in the location of atresia\/stenosis (with vs. without late intestinal complications at oral\/anal side of the Treitz ligament: 0\/8 vs. 24\/19; <jats:italic>P<\/jats:italic>\u2009=\u20090.005) and the type of intestinal atresia\/stenosis (with vs. without that accompanying low\u2010\/high\u2010risk type: 5\/3 vs. 41\/2; <jats:italic>P<\/jats:italic>\u2009=\u20090.023).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Physicians should consider the presence of intestinal complications that require surgical intervention in patients undergoing surgical reconstruction for jejunal and ileal atresia\/stenosis with abdominal symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.15208","type":"journal-article","created":{"date-parts":[[2022,4,7]],"date-time":"2022-04-07T09:01:19Z","timestamp":1649322079000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Incidence of late severe intestinal complications after bowel atresia\/stenosis"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9523-4077","authenticated-orcid":false,"given":"Takahiro","family":"Hosokawa","sequence":"first","affiliation":[{"name":"Department of Radiology Saitama Children\u2019s Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Tanami","sequence":"additional","affiliation":[{"name":"Department of Radiology Saitama Children\u2019s Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumiko","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Radiology Saitama Children\u2019s Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Ishimaru","sequence":"additional","affiliation":[{"name":"Department of Surgery Saitama Children\u2019s Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Kawashima","sequence":"additional","affiliation":[{"name":"Department of Surgery Saitama Children\u2019s Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Oguma","sequence":"additional","affiliation":[{"name":"Department of Radiology Saitama Children\u2019s Medical Center  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,13]]},"reference":[{"issue":"133","key":"e_1_2_8_2_1","first-page":"490","article-title":"Intestinal atresia and stenosis: a 25\u2010year experience with 277 cases","volume":"1998","author":"Dalla Vecchia LK","year":"1960","journal-title":"Arch. 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