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Published on: March 5, 2018

Adhesion intestinal obstruction in children in northern Nigeria

E A Ameh1, P T Nmadu

  • 1Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello UniversityTeaching Hospital, Zaria, Nigeria. ssrs.njsr@skannet.com

Tropical Doctor
|May 1, 2004
PubMed

Insights

Adhesion intestinal obstruction in children is underreported in developing nations. Late presentation leads to high morbidity and mortality, emphasizing the need for early diagnosis and intervention to improve outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Global Health

Background:

  • Adhesion intestinal obstruction is a significant surgical challenge in children, particularly in developing countries where data is scarce.
  • This study addresses the limited reports on pediatric adhesion intestinal obstruction in developing regions.

Purpose of the Study:

  • To describe the clinical features, management, and outcomes of adhesion intestinal obstruction in children in northern Nigeria.
  • To highlight the impact of late presentation on morbidity and mortality in this population.

Main Methods:

  • Retrospective review of 30 children managed for adhesion intestinal obstruction over a 16-year period.
  • Analysis of patient demographics, causes of obstruction, duration of symptoms, treatment strategies, complications, and outcomes.

Main Results:

  • The median age was 9 years, with postoperative adhesions being the most common cause (43%).
  • Late presentation (median 4 days) was common, with 13% requiring intestinal resection for gangrene and 3% needing perforation repair.
  • Postoperative complications occurred in 20% of patients, with an 11% recurrence rate and a 10% mortality rate.

Conclusions:

  • Adhesion intestinal obstruction in children in northern Nigeria is characterized by late presentation, high morbidity, and significant mortality.
  • Early detection and intervention are crucial to improve patient outcomes and reduce the severity of this condition.

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