The approach to a neonate with suspected intestinal obstruction: the pediatric surgical perspective

Sarma, Vivek Parameswara; Menon, Sangeetha

doi:10.18203/2349-2902.isj20195156

Cited by 3 publications

(6 citation statements)

References 7 publications

(11 reference statements)

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“…Patients have to waste time in reaching us which leads to delay in starting the initial treatment. 1,4,5,18 The high mortality is not directly related to neonatal preterm and low birth weight as seen in the study by Adenmyiwa et al 5 They have seen late presentation to the hospital after birth beyond two days of life as the main cause of mortality in their series. In our series mortality is seen more in neonates who were presented to us beyond average age of four days.…”

Section: Discussionmentioning

confidence: 89%

“…bilious vomiting, abdominal distension, failure to pass m e c o n i u m , i m p e r f o r a t e a n u s ) , p r i m a r y management and early referral to paediatric surgical centres may further reduce mortality from neonatal intestinal obstruction in developing world like ours. 1,3,10,[19][20][21] Our study provides a valid representation of pattern and outcome nationwide. There is a need for more studies in depth on this topic of neonatal intestinal obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…Neonatal intestinal obstruction constitutes a main bulk of neonatal surgical problems and occurs in approximately one in 2,000 live births. 1 The causes of obstruction are diverse with different embryological origins, and some etiologies are not yet well defined. Common causes of neonatal intestinal obstruction are intestinal atresia, anorectal malformation (ARM), Hirschsprung's disease (HD), meconium ileus, malrotation etc.…”

Section: Introductionmentioning

confidence: 99%

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Patterns and Outcome of Neonatal Intestinal Obstruction in Kanti Children’s Hospital

Thapa

Basnet

2020

J. Nepal Paedtr. Soc.

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Introduction: Neonatal intestinal obstruction is the most common neonatal surgical emergency. More than 75% of neonatal surgeries are done for the correction of this problem. The outcome of this obstruction mainly depends upon the causes of obstruction, clinical condition of the patient, associated anomalies, expertise and centre where the patient is dealt. This study was undertaken to study the clinical features and outcome of neonatal intestinal obstruction presented in our centre. Methods: The medical records of all neonates admitted in the surgical NICU were selected and cases with the diagnosis of neonatal intestinal obstruction and managed surgically during two years period from September 1, 2015 to September 1, 2017 were retrospectively reviewed and analysed in regard to age at presentation, sex, weight, gestation, postoperative diagnosis and their outcome. Results: Out of 235 admitted neonates, 205 cases were treated surgically for intestinal obstruction. There were a total of 154 (75.2%) males and 51 (24.8%) females. Mean age at presentation was 4.5 days and average weight was 2.25 kg. Among them, anorectal malformation (ARM) 88 (42.92%), intestinal atresia 59 (28.78%), Hirschsprung’s disease 38 (18.53%), malrotation of gut 10 (4.87%) and meconium ileus 10 (4.87%) were the etiology. Among intestinal atresia, duodenal atresia 27 (45.76%) was the commonest one followed by ileal atresia 24 (40.67%), six jejunal atresia (10.16%) and two colonic atresia (3.38%). Overall, 160 neonates survived (78.04%). Among the survival, Hirschsprung’s disease was 34 (89.47%), ARM 78 (88.63%), seven malrotation of gut (70%), six meconium ileus (60%) and intestinal atresia 35 (59.32%). Conclusion: Neonatal intestinal obstruction is the most common neonatal surgical emergency in Kanti Children’s Hospital. Anorectal malformation was the commonest etiology followed by intestinal atresia and Hirschsprung’s disease. Overall survival rate was 78%. Cases with Hirschsprung’s disease and anorectal malformation had about 90% survival rate. Intestinal atresia was the major cause of mortality occupying 53.35% of total mortality of 21.95%. Mortality is mainly due to delayed diagnosis, referral and intervention which lead to higher complications of cases.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patterns and Outcome of Neonatal Intestinal Obstruction in Kanti Children’s Hospital

Thapa

Basnet

2020

J. Nepal Paedtr. Soc.

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“…Kejadian obstruksi pada bayi lahir yaitu 1 dari 2000 kelahiran hidup serta pada anak-anak diatas 2 tahun sekitar 1 dari 5000 (Gibson, 2021). Perawatan yang efektif tergantung pada diagnosis yang tepat dan cepat (Hefny 2012;Sarma 2019). Pemeriksaan umumnya diawali dengan anamnesa, pemeriksaan fisik, pemeriksaan laboratorium dan pencitraan radiologi.…”

Section: Pendahuluanunclassified

“…Anak-anak atau pediatrik dengan ciri-ciri obstruksi usus menimbulkan tantangan diagnostik bagi dokter radiologis maupun pediatrik ahli bedah. Namun, interpretasi sistematis atau anamnesis, pemeriksaan fisik, radiografi, dan pencitraan kontras pada kasus tertentu memungkinkan diagnosis yang akurat dan tepat waktu (Sarma, 2019). Pada kasus obstruksi kronis dalam penegakkan diagnosa biasanya menggunakan pemeriksaan dengan kontras media menggunakan foto polos abdomen sebagai pemeriksaan awal (Hefny, 2012).…”

Section: Pembahasanunclassified

Teknik Pemeriksaan Colon in Loop Pediatrik Pada Kasus Obstruksi Kronis Di Instalasi Radiologi Rsud Kraton Pekalongan

Wati

Safitri

Sulistyono

2021

JKT

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Chronic intestinal obstruction is a blockage that occurs in the intestines, both the small intestine and the large intestine. Pediatric colon in loop is a radiological examination technique to determine the condition of the large intestine by inserting contrast medium retrograde in children. The pediatric colon in loop examination technique was performed usually using plain abdominal anteroposterior (AP) projection, contrast AP, lateral contrast, and post evacuation AP. Contrast media that are usually used are barium sulfate in adults and iodine in children. This study was conducted to find out how the pediatric colon in loop examination technique is carried out at the Radiology Installation of the Kraton Pekalongan Hospital so that it can help confirm the doctor's diagnosis of colon disorders. This research is qualitative research with a case study approach. The time of the study was carried out from November 11 to December 14, 2019. The results showed that the pediatric colon in loop examination in cases of chronic obstruction carried out at the Radiology Installation of the Kraton Pekalongan Hospital used three projections, namely plain AP, contrast AP, and lateral contrast. As for the contrast media using iodine mixed with NaCl in a ratio of 1:3. The pediatric colon in loop examination technique, in this case, was sufficient by using plain abdominal AP projection, contrast AP, and lateral contrast because it was able to establish the diagnosis. And contrast media uses iodine because it is water-soluble, so it is easily and quickly digested by the child's body.

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Frequency of Various Etiological Causes of Intestinal Obstruction in Children

Farooq¹,

Malik²,

Hayat³

et al. 2022

PJMHS

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Aim: To determine the frequency of causes of intestinal obstruction among children. Study design: This is a cross sectional study. Place and duration of study: This study was conducted in Allama Iqbal Memorial Teaching Hospital Sialkot. Study was completed in six months duration from January 2022 to June 2022. Methodology: Children with age <12 years admitted in the department of pediatrics and undergoing exploratory laparotomy for intestinal obstruction and fulfilling inclusion criteria were included in this study. On exploratory laparotomy causes of intestinal obstruction were noted like adhesions, intussusceptions, round worms and obstructed hernia. Collected data was analyzed using SPSS version 20 software. Percentages, means and standard deviations were determined. Results: Total 170 cases were studied including 107(62.9%) males and 63(37.1%) females. Range of the ages was one month to 12 years with mean age of 4.37±2.6 years. Most common cause of intestinal; obstruction was adhesions followed by intussusception found in 71(41.7%) and 55(32.3%) cases respectively. Conclusion: Frequency of etiological causes of intestinal obstruction varies in different age groups in children, however adhesions are most common cause of intestinal obstruction in children, while intussusception is second most common cause. Key words: Intestinal obstruction, Adhesion, Intussusception, Etiological causes, Children

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The approach to a neonate with suspected intestinal obstruction: the pediatric surgical perspective

Cited by 3 publications

References 7 publications

Patterns and Outcome of Neonatal Intestinal Obstruction in Kanti Children’s Hospital

Patterns and Outcome of Neonatal Intestinal Obstruction in Kanti Children’s Hospital

Teknik Pemeriksaan Colon in Loop Pediatrik Pada Kasus Obstruksi Kronis Di Instalasi Radiologi Rsud Kraton Pekalongan

Frequency of Various Etiological Causes of Intestinal Obstruction in Children

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