A study on clinico etiological spectrum of intestinal obstruction in paediatric age group

Ma, Mengmeng; Patel, Jiwan Lal; Siddharth, Ram Kumar; Dhuware, Mahendra Kumar

doi:10.18203/2320-6012.ijrms20162239

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…This finding is consistently observed in many other reports too [6,8,11,16,20]. The mortality rate in the current study is in agreement with that of other studies of its nature [3,19]. Documented mortality rates of children who have intestinal obstruction vary widely, from 0.9% to 20% [9,11].…”

Section: Discussionsupporting

confidence: 92%

Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria

Emeka¹,

Ikemefuna²,

Tochukwu³

2019

EJPM

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Background: Paediatric intestinal obstruction is a common surgical emergency and is associated with lots of morbidity and mortality especially in developing countries. Paediatric intestinal obstruction differs from adult intestinal obstruction in terms of aetiology, presentation, management and outcome. This study reports the demography, diagnosis, management and outcome of paediatric intestinal obstruction in pediatric surgical unit of a tertiary hospital in Enugu, Nigeria. Methodology: This was a retrospective study of paediatric patients who presented with intestinal obstruction to the paediatric surgical unit of Enugu State University Teaching Hospital (ESUTH) Enugu, South East Nigeria. Children above one month of age but below 15 years, who presented with symptoms and signs of intestinal obstruction, were recruited for the study. Intestinal obstruction in neonates was excluded from this study. The study period was for one year, from January 1 st 2018 to December 31 st 2018. Result: During the period of the study 45 cases, 30 (66.7%) males and 15 (33.3%) females were managed. The mean age of the patients was 52.2 months. Abdominal pain was the most common presenting symptom and intussusception was the most common cause of intestinal obstruction. Forty two patients (93.3%) did well and were discharged. Two patients (4.4%) died while one patient (2.2%) was discharged against medical advice. Conclusion: Intussusception was the most common cause of intestinal obstruction in the current study. The mortality of 4.4% recorded in this study can be improved upon.

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Section: Discussionsupporting

confidence: 92%

Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria

Emeka¹,

Ikemefuna²,

Tochukwu³

2019

EJPM

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“…Overall survival rate was 91.40%. 18 In the two studies from Kashmir reported ascariasis to be the cause of IO in 63-77% of the study cohort. 19,20 Ascariasis is a common infection in the tropics, and is associated with poor hygiene and low socioeconomic conditions that are more prevalent in rural areas such as western Kenya.…”

Section: Discussionmentioning

confidence: 93%

The spectrum of paediatric intestinal obstruction

Shukla¹,

Agrawal²,

Agarwal³

2022

ijhs

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Background: Acute intestinal obstruction is very common surgical emergency in paediatric age. The purpose of this study was to determine the aetiology, clinical presentation, management and outcome of intestinal obstruction in children in a tertiary care hospital. Material & methods: This was a retrospective study of paediatric patients who presented with intestinal obstruction to the paediatric surgical unit. he study period was for one year. Data was extracted from the records. Statistical Package for Social Science (SPSS) version 23 was used for data entry and analysis. Data were expressed as percentages and mean. Results: There were 80 cases of paediatric intestinal obstruction seen during the study period. A total of 6200 children were admitted into the children’s ward of the hospital during the study period, out of which intestinal obstruction accounted for 1.20%. Most of the patients (43.75%) presented with abdominal pain. Most common etiology was Ascariasis. Conclusion: The present study concluded that most of the patients presented with abdominal pain. Most common etiology was Ascariasis followed by Adhesions. Only 2.5% were discharged against medical advice.

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“…The cause of intestinal obstruction in paediatric age group varies from country to country and geographical variation exists also. [3][4][5][6][7][8] In neonates majority of gastrointestinal (GI) obstruction are due to congenital lesions such as anorectal malformations, Hirschsprung's disease, GI atresia, malrotation; however, in infants and children, GI obstruction is due to a variety of congenital (e.g., Hirschsprung's disease, malrotation) as well as acquired causes such as intussusception, post-operative adhesive obstruction, Koch's abdomen, worm obstruction etc. 2,4,5 In our series, which included patients between 1 month and 12 years of age, GI obstruction was most commonly due to intussusception (18%), Hirschsprung's disease (14%), malrotation (12%), Koch's abdomen (11%), Meckel's diverticulum (10%) and post-operative adhesive obstruction (9.5%).…”

Section: Discussionmentioning

confidence: 99%

A clinical study of gastrointestinal obstruction among children in a tertiary referral centre of North India

Singh¹,

Singh²

2019

Int Surg J

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Background: Children are a unique lot in that, since, in contrast to adults, in which post op adhesive obstruction and inflammatory causes predominate, in children congenital causes also make a significant part.Methods: This study was a retrospective analysis of the clinico pathological data of patients (between 1 month and 12 years of age) who presented to the department of surgery, MLNMC, Prayagraj with clinical diagnosis of intestinal obstruction. The study included patients who were admitted to the department between April 2013 and April 2019.Results: A total of 130 patients were admitted in pediatric unit of general surgery department during the study period. Of these 83 were males and 47 were females. In the end, 116 fulfilled the inclusion or exclusion criteria. 21 patients were successfully managed conservatively. 95 were operated.Conclusions: Intussusception is the most common cause. Kochs abdomen is the most common cause in children >5years with a vast majority being females. Majority of the patients whose clinical diagnosis is Koch’s abdomen, post-operative adhesive obstruction or worm infestation can be conservatively managed. Obstructed inguinal hernia still remains a potential preventable cause of intestinal obstruction.

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A study on clinico etiological spectrum of intestinal obstruction in paediatric age group

Cited by 3 publications

References 2 publications

Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria

Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria

The spectrum of paediatric intestinal obstruction

A clinical study of gastrointestinal obstruction among children in a tertiary referral centre of North India

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