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Neonatal intestinal obstruction.

G A Nasir1, S Rahma, A H Kadim

  • 1Basra General Hospital, Basra, Iraq.

Eastern Mediterranean Health Journal = La Revue De Sante De La Mediterranee Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit
|May 24, 2001
PubMed
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This study analyzed 36 neonatal intestinal obstruction cases requiring surgery. Imperforate anus was the most common cause, with a 22% mortality rate observed post-operation.

Area of Science:

  • Pediatric Surgery
  • Neonatal Care
  • Gastrointestinal Disorders

Background:

  • Neonatal intestinal obstruction is a critical surgical condition.
  • Early diagnosis and intervention are vital for infant survival.
  • Conservative management often fails, necessitating surgical treatment.

Purpose of the Study:

  • To review surgical interventions for neonatal intestinal obstruction.
  • To identify common causes and outcomes of surgical treatment.
  • To analyze mortality rates and associated factors in neonates.

Main Methods:

  • Retrospective review of 36 neonatal intestinal obstruction cases.
  • Data collected over a 10-year period (1986-1996).
  • Focus on cases requiring surgical intervention after conservative treatment failure.

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Main Results:

  • Imperforate anus (27.8%) was the leading cause of obstruction.
  • Duodenal atresia and colonic atresia/meconium ileus were also significant causes.
  • A 22% mortality rate was recorded, with aspiration pneumonia, septicaemia, and hypothermia as primary causes of death.

Conclusions:

  • Surgical intervention is crucial for neonatal intestinal obstruction when conservative measures fail.
  • Specific congenital anomalies like imperforate anus are prevalent.
  • Post-operative complications significantly impact survival rates, highlighting the need for intensive neonatal care.