Primary versus secondary anastomosis in intestinal atresia
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In brief
In brief
Retrospective study of 92 neonates with intestinal atresia comparing primary anastomosis (76%) versus ostomy with secondary anastomosis (24%). Primary anastomosis patients had significantly shorter hospitalizations (27 vs 95 days) and lower costs, with surgeon preference being a key factor in procedure selection.
Written by the GCMD Library team from the article.
Purpose
Neonates with intestinal atresia (IA) undergo either primary anastomosis (PA) or ostomy creation with secondary anastomosis (SA). Our purpose was to compare outcomes for PA and SA and to assess factors influencing procedure selection.
Methods
We conducted a retrospective cohort study of neonates with IA between 2009 and 2015. Patient characteristics, operative details, and outcomes were collected. Surgeon-level preferences (defined as performing >50% PA or SA) were assessed using logistic regression.
Results
Of 92 IA patients, 70 (76.1%) underwent PA and 22 (23.9%) underwent SA. Neonates with PA had shorter hospitalizations (27 days vs. 95 days, p