{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:49:59Z","timestamp":1788176999215,"version":"build-2803163510"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>Congenital colonic stenosis (CCS) is an extremely rare cause of low-intestinal obstruction in neonates\/child. We report our experience with seven cases of CCS presenting with low-intestinal obstruction and diagnosed intraoperatively and also propose an algorithm for its appropriate treatment for the adequate outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>It was a retrospective study of seven patients of CCS including two neonates (5-days and 15-days old), four infants (age range \u2013 2\u201311 months), and one 24-month-old child admitted from 2014 to 2019. Information regarding the age of presentation, clinical presentation, physical findings, radiological and laboratory findings, details of surgery, and outcome was retrieved and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The male-to-female ratio was 5:2. Patients were initially diagnosed as cases of Hirschsprung's disease in five and ileal atresia in two. A final diagnosis of CCS was made during surgery and histopathological examination of resected stenotic segment. The segment involved was ascending colon in three, transverse colon in two, and sigmoid colon and junction of descending and sigmoid colon each in one patient. Resection of stenotic colonic segment and primary end-to-end anastomosis was performed in two, divided stoma after resection of the stenotic segment and secondary anastomosis in three, and proximal loop terminal ileostomy followed by resection of the stenotic colonic segment and ileocolic anastomosis after 10\u201312 weeks in two.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>CCS is a rare but possible cause of large-bowel obstruction, in neonatal, infant, and children particularly when associated with a history of chronic constipation since birth. It should be kept in mind as a differential diagnosis while managing a case of neonatal and pediatric intestinal obstruction, particularly low-bowel obstruction along with a history of chronic constipation. Treatment should be individualized for each patient based on clinical status and associated anomalies to give the best results with less morbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_180_20","type":"journal-article","created":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T04:48:08Z","timestamp":1631767688000},"page":"317-323","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Congenital Colonic Stenosis"],"prefix":"10.4103","volume":"26","author":[{"given":"Archika","family":"Gupta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek Kumar","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanoujia","family":"Sunil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Pandey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jile Dar","family":"Rawat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiv Narain","family":"Kureel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-7-20240905","doi-asserted-by":"crossref","first-page":"82","DOI":"10.4314\/mmj.v31i1.14","article-title":"Chronic bowel obstruction from colonic stenosis in early infancy-A report of two cases","volume":"31","author":"Ekenze","year":"2019","journal-title":"Malawi Med J"},{"key":"R4-7-20240905","doi-asserted-by":"crossref","first-page":"191","DOI":"10.4103\/jiaps.JIAPS_232_16","article-title":"Delayed presentation of congenital colonic stenosis","volume":"22","author":"Natarajan","year":"2017","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"R6-7-20240905","first-page":"166","article-title":"Management congenital colonic stenosis","volume":"4","author":"Hamid","year":"2015","journal-title":"J Neonatal Biol"},{"key":"R7-7-20240905","first-page":"574","article-title":"Congenital stenosis in the descending colon causing intestinal obstruction in a one and half years male child","volume":"22","author":"Saha","year":"2013","journal-title":"Mymensingh Med J"},{"key":"R8-7-20240905","doi-asserted-by":"crossref","first-page":"73","DOI":"10.3126\/jnps.v32i1.5446","article-title":"Congenital descending colonic stenosis with perforation of transverse colon in a neonate: A case report","volume":"32","author":"Hamid","year":"2012","journal-title":"J Nepal Pediatr Soc"},{"key":"R9-7-20240905","first-page":"4","article-title":"Colonic atresia and stenosis: Our experience","volume":"1","author":"Mirza","year":"2012","journal-title":"J Neonatal Surg"},{"key":"R10-7-20240905","first-page":"259","article-title":"Congenital stenosis of the colon with foreign bodies. 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