Neonatal Intestinal Obstruction – Our Institutional Experience
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 1
Abstract
Aim : The aim of this study were to evaluate the cases of neonatal intestinal obstruction. Objectives : To find out the cause, age of presentation, gender distribution, operative findings and their surgical management of neonatal intestinal obstruction at our institute. Material and method: This study was conducted in 88 neonates who presented with complaints of vomiting or abdominal distension between December 2017 and November 2018 in the department of paediatric surgery at our institute. Results : Duodenum is the most common site of neonatal intestinal obstruction (25 cases of duodenal atresia), followed by jejunal atresia (20 cases), ileal atresia (17 cases), Malrotation with volvulus (15 cases), colonic atresia and complicated meconium ileus (3 cases of each), meconium ileus and hereditary multiple intestinal atresia (2 cases of each), and 1 case of rectal atresia. Most of the neonates with obstruction were admitted here within 3 days of life, whereas cases of malrotation with mid gut volvulus were presented here 4 to 14 days of life. Conclusion: Neonatal intestinal obstruction is a surgical emergency, but optimization of vitals and electrolytes warranted. The most common cause of neonatal intestinal obstruction is intestinal atresia.
Authors and Affiliations
Dr. Vinay Mathur
Keywords
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