Diminishing role of contrast enema in simple meconium ileus

Copeland, Daniel R.; Peter, Shawn D. St.; Sharp, Susan W.; Islam, Saleem; Cuenca, Alex G.; Tolleson, Joshua S.; Dassinger, Melvin S.; Little, Danny C.; Jackson, Richard J.; Kokoska, Evan R.; Smith, Samuel D.

doi:10.1016/j.jpedsurg.2009.06.005

Cited by 49 publications

(32 citation statements)

References 15 publications

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“…Several complications have been reported following Gastrografin enema like perforation, necrotizing enterocolitis, shock and occasional death [4]. Therefore, Noblett set some criteria to be fulfilled before performing this procedure [3].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of T Tube Ileostomy and Bishop Koop Ileostomy for the Management of Uncomplicated Meconium Ileus

et al. 2017

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Background: Meconium ileus is a common cause of neonatal intestinal obstruction. Various surgical procedures are in practice for uncomplicated meconium ileus. Bishop Koop ileostomy allows distal passage of gut content and uses the distal absorptive area. T tube ileostomy avoids the need for gut resection and formal closure of stoma. The aim of this prospective interventional study was to compare the outcome of T-tube ileostomy and Bishop Koop ileostomy for the treatment of uncomplicated meconium ileus.

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Section: Introductionmentioning

confidence: 99%

“…Therefore, Noblett set some criteria to be fulfilled before performing this procedure [3]. Copeland et al also reported diminishing role of the contrast enema [4].…”

Section: Introductionmentioning

confidence: 99%

Comparison of T Tube Ileostomy and Bishop Koop Ileostomy for the Management of Uncomplicated Meconium Ileus

et al. 2017

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“…9 Majority of these patients are usually sick and dehydrated with electrolyte disturbances. They need intensive resuscitation with IV fluids and antibiotics before subjecting them to invasive procedures or surgery.…”

Section: Discussionmentioning

confidence: 99%

Complicated Meconium Ileus: Case Report with Review of Literature

2017

IJSR

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Meconium ileus (MI) is a unique form of neonatal obstruction almost always associated with Cystic Fibrosis.Uncomplicated cases respond well to nonsurgical management.However, few patients develop complications in the postnatal period, requiring emergency operation.A two day old newborn presented with clinical features of low intestinal obstruction suspected to be due to meconium ileus.After resuscitation, a trial of conservative treatment, with Mucomist enemas, was attempted without success. Exploratory laparotomy revealed typical MI with midileal volvulus. Resection of the gangrenous, volvulated ileum with manual evacuation of meconium, both proximally and distally, followed by end to end anastomosis was done. Patient made uneventful recovery.Followup tests did not reveal cystic fibrosis, the growth and development of the baby has been uneventful.

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“…The success rate of patients with uncomplicated MI, treated with Gastrografin enemas, historically range as high as 83%. Multiple contemporary studies report much lower success rates closer to 36% to 39% [38,39]. Copeland et al [38] analyzed the reasons for reduced rates of success in a recent study.…”

Section: Nonoperative Managementmentioning

confidence: 99%