HIGH INTESTINAL OBSTRUCTION


  • Duodenal atresia--1/5000 live births, due to in utero vasc. insufficiency or annular pancreas; common with Down's Sd.; diff anatomic forms; dx by bile-stained vomiting and "double-bubble sign" on AXR (gas in stomach and duodenum & none beyond)--*CAN STILL PASS STOOL (MEC) AFTER BIRTH*
  • Ileal atresia--Tx with "Thomas Taper"