Neonatal intestinal obstruction : patterns, problems and outcome

Autor:	HM Zafor Sharif, Anwerul Azim, Barkot Ali, Amar Kumar Saha, Sunil Kumar Biswas
Rok vydání:	2013
Předmět:	Pediatrics medicine.medical_specialty business.industry Applied Mathematics General Mathematics Intestinal atresia Meconium Ileus Retrospective cohort study Disease medicine.disease Neonatal surgery Surgery Meconium medicine Surgical emergency Complication business
Zdroj:	Bangladesh Medical Journal Khulna. 45:6-10
ISSN:	2311-8016 1012-8751
DOI:	10.3329/bmjk.v45i1-2.13638
Popis:	Neonatal intestinal obstruction is the most common surgical emergency in newborn. Ideally neonatal surgery should be done in an organized neonatal surgical unit. This study was done mostly in general surgical setup in Khulna without any facility of NICU and TPN. The aim of this study was to detect the patterns of neonatal intestinal obstruction and to find out the problems and outcome of surgical treatment. This retrospective study was done between January 2008 and December 2010, in Khulna Medical College Hospital, Khulna Shishu Hospital and a private clinic in Khulna. A total of 205 neonates with intestinal obstruction were treated surgically. Babies of both sexes up to 28 days of age were included in this study. Common causes of neonatal intestinal obstruction were anorectal malformation (ARM), intestinal atresia, Hirschsprung's disease (HD), meconium ileus and malrotation of midgut. Male-female ratio was 1.6:1 and about 13% was premature. Out of 205 neonates, there were ARM-73, HD-47, meconium ileus-38, intestinal atresia-29, malrotation-13 and others-5. Total 172 (84%) survived. Those were ARM (94%), Hirschsprung's disease (91%), meconium ileus (79%), intestinal atresia (55%), malrotation of gut (85%) and others (40%). Overall mortality after initial surgical treatment was 16%. Prognosis of surgical treatment depends on early intervention, expert anaesthesia, associated anomaly and complication, gentle handling of delicate tissue and intensive postoperative management. Medical practitioners were the first attending physician in most instances. So both physicians and surgeons have a contributing role in reducing mortality. DOI: http://dx.doi.org/10.3329/bmjk.v45i1-2.13638 Bang Med J (Khulna) 2012; 45 : 6-10
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2935e57c9d7bf80b7a804b419a46e469 https://doi.org/10.3329/bmjk.v45i1-2.13638 Zobrazit plný text záznamu