Neonatal intestinal obstruction : patterns, problems and outcome

Abstract

Neonatal intestinal obstruction is the most common surgical emergency in newborn. Ideally 2012; 45 : 6-10

Etiological Spectrum of Neonates Presenting With Intestinal Obstruction at A Tertiary Care Centre

“…Survival rate in our study was 77.8%; which was lower as compared to Anjali Verma et al (83.5%) (6) . Similar survival rates have been quoted by Seth et al (80%) (11) and A K Saha et al (84%) (16) . Mortality rate in our study was 22.2%.…”

“…(6) Male: female ratios are equal as per reported by literature (7,(13)(14)(15) ; in our study the ratio of males was higher (1.9:1). This ratio was similar to the study by Anjali Verma et al (1.5:1) (6) and the study conducted by A K Saha et al (1.6:1) (16) . Most of the neonates presented to us within first week of life (77.8%) which was similar to the study conducted by A K Saha et al in Khulna (58.6%) (16) .…”

“…This ratio was similar to the study by Anjali Verma et al (1.5:1) (6) and the study conducted by A K Saha et al (1.6:1) (16) . Most of the neonates presented to us within first week of life (77.8%) which was similar to the study conducted by A K Saha et al in Khulna (58.6%) (16) . The most common symptoms at presentation were abdominal distension (48.3%) and vomiting (42.1%).…”

“…Most common cause for mortality in our study was septicaemia (40.3%)followed by anastomotic leak (30.1%); which was similar to the study conducted by Anjali Verma et al 36% followed by 11% of cases with anastomotic leak (6) . A K Saha in his study had only 22% mortality associated with septicaemia (16) . This higher rate of mortality in our study could be due to the fact that our hospital is the only referral centre for paediatric surgery in the state of Rajasthan, hence the delay in starting the initial treatment, transportation time and other undiagnosed metabolic derangements as shown by Narang M et al in his study done at a tertiary centre in Delhi (18) .…”

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

“…obstruction followed by Hirschsprung's disease (22.9%). 13 In our institute cases of Hirschsprung's disease were presented later in age of 1 month-1 yr, so incidence of Hirschsprung's disease is less in neonates. IHPS and Hirschsprung's disease are most common cause of intestinal obstruction in 1 month to 1 year age group in our study.…”