Small Intestines 3 Disorders 1

2.1.1 LADDS BAND

A congenital defect due to non descent of the ceacum a peritoneal

band  streches  across  the second part of  the  duodeneum.   The

patient presents with duodenal obstruction.  Early operation   is

required to divide the band and relieve the obstruction

2.1.2 Intestinal  atresia  non canalisation of  the  intestines  during

development occurs in one in 2000 births. It is suspected this is as a

result  of interferance with the blood supply of the  atretic segment  of

in utero.  The sites are:

Duodenum                30 percent

Ileum                         25%

Multiple sites             17%

Jejunium                    15%

Colon                        10%

This  is  the  commonest cause of obstruction in  the  new  born. 

There is bilious vomiting.  The management of this condition  has

been discussed in the Paediatric surgery chapter

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