Neonatal Intestinal Obstruction: A 9-year Experience in a Tertiary Care Hospital
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Date
2019-01
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International Research Organization for Life and Health Sciences
Abstract
Aim: This study aims to study the clinical presentation, etiology, management, and outcome of neonatal intestinal obstruction in the newborn and neonates, over a period of 9 years in the Department of Pediatric Surgery, Rangaraya Medical College. Materials and Methods: It is a retrospective study of 191 cases over a period of 9 years within 28 days of birth with the diagnosis of neonatal intestinal obstruction, which was managed between 2008 to 2017 in the Department of Pediatric Surgery, Rangaraya Medical College, Kakinada, Andhra Pradesh. Cases of anorectal anomalies and Hirschsprung’s disease were excluded from the present study. Results: Male-to-female ratio was 1.5:1. Gestational age was variable from 32 weeks to 40 weeks and birth weight ranged from 1.2 kg to 3.75 kg. Age of presentation was few hours to 28 days. The most common etiology was intestinal atresia 112, followed by malrotation 35, meconium ileus 24, annular pancreas 10, and exomphalos minor with obstruction 6, apart from Meckel’s band and cecal web as being other rare causes of obstruction. Mortality rate was around 16% in our study. Conclusion: Jejunoileal atresia 58.6% was the most common cause of neonatal intestinal obstruction followed by malrotation 18%. Incidence was higher in male babies compared to females. Bilious vomiting, abdominal distension, and failure to pass meconium were the presenting symptoms. Higher mortality rate was noted in preterm and low birth weight babies associated with multiple atresia and perforation peritonitis, especially complicated meconium ileus.
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Reddy Jeeru Bhaskar, Prasad Damisetti Kalyan Ravi. Neonatal Intestinal Obstruction: A 9-year Experience in a Tertiary Care Hospital. IJSS Journal of Surgery. 2019 Jan; 5(1): 5-8