{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:40:15Z","timestamp":1756294815959,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,8,8]]},"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>A term newborn presented after birth with abdominal distension and vomiting in a developing country in Asia. Ultrasonography suggested intestinal obstruction and abdominal X-ray showed a \u2018double-bubble\u2019 sign suggestive of intestinal atresia. The newborn was diagnosed with early-onset neonatal sepsis secondary to intestinal obstruction and transferred to the neonatal intensive care unit. Surgery was performed and type IIIb jejunal atresia was found. Type IIIa\/b jejunal atresia is associated with high incidence of poor outcome in lower socioeconomic countries. The affected intestinal segment and a distal serosal tear were resected and two end-to-end anastomoses formed. Oral feeding commenced on day 13 postoperatively. The patient was discharged on day 20 with adequate nutritional status. At follow-up, the patient continued to thrive. An operation involving resection of two different segments of bowel repaired with two end-to-end anastomoses in a neonate had a successful outcome for the patient.<\/jats:p>","DOI":"10.1136\/bcr-2022-251783","type":"journal-article","created":{"date-parts":[[2023,9,20]],"date-time":"2023-09-20T13:05:11Z","timestamp":1695215111000},"page":"e251783","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Type IIIb jejunal atresia treated surgically with two end-to-end anastomoses"],"prefix":"10.1136","volume":"16","author":[{"given":"Alexander James","family":"Harper","sequence":"first","affiliation":[{"name":"Medicine, University of Leicester, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susmit","family":"Das","sequence":"additional","affiliation":[{"name":"Medicine, University of Leicester, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Williamson","sequence":"additional","affiliation":[{"name":"Medicine, University of Leicester, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Sah","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,9,20]]},"reference":[{"key":"2025082703584121000_16.9.e251783.1","first-page":"SC10","article-title":"Neonatal intestinal obstruction: a 15 year experience in a tertiary care hospital","volume":"10","author":"Verma","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"2025082703584121000_16.9.e251783.2","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2021.665022","article-title":"Jejunoileal atresia: a national cohort study","volume":"9","author":"Schmedding","year":"2021","journal-title":"Front Pediatr"},{"key":"2025082703584121000_16.9.e251783.3","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1016\/S0140-6736(55)92852-X","article-title":"Congenital intestinal atresia; observations on its origin","volume":"269","author":"Louw","year":"1955","journal-title":"Lancet"},{"key":"2025082703584121000_16.9.e251783.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(79)80502-3"},{"key":"2025082703584121000_16.9.e251783.5","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(75)90183-9"},{"key":"2025082703584121000_16.9.e251783.6","doi-asserted-by":"crossref","unstructured":"Frischer JS et al . 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