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Six infants with jejunal atresia, one infant with ileal atresia, and one infant with colonic atresia were managed by a newly developed wing-shaped end-to-end anastomosis. The technique was accomplished by anastomosing the tip of the dilated proximal bowel to the diminutive distal bowel, which had been divided into two parts, including the mesentery. The completed anastomosis resembled extended wings, and this technique was therefore named wing-shaped anastomosis. This technique for anastomosis is effective in preventing functional obstruction because no axial deviation between the proximal and distal anastomotic bowels exists, and the mucosal absorptive surface is completely preserved.

Wing-Shaped End-to-End Anastomosis for the Treatment of High Jejunal Atresia