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Published on: January 9, 2026
Understanding neonatal bowel obstruction: building knowledge to advance practice
Nicole T de Silva1, Jennifer A Young, Paul W Wales
1NICU, Hospital for Sick Children, Ontario, Canada.
Insights
Neonatal bowel obstruction requires understanding gastrointestinal anatomy and pathophysiology. Early recognition, diagnosis, and management, including gastric decompression and fluid balance, are crucial for infant care.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Gastroenterology
Background:
- Neonatal bowel obstruction presents a significant clinical challenge.
- Requires specialized knowledge of infant gastrointestinal (GI) anatomy and physiology.
- Understanding pathophysiology is key for effective management.
Purpose of the Study:
- To review the key features of the neonatal GI tract.
- To discuss common causes of intestinal blockage in newborns.
- To highlight the importance of early recognition and diagnosis.
Main Methods:
- Review of neonatal gastrointestinal anatomy and functional landmarks.
- Discussion of the pathophysiology of intestinal obstruction.
- Analysis of common presenting symptoms and diagnostic approaches.
Main Results:
- Detailed description of normal neonatal GI anatomy.
- Explanation of various causes leading to bowel obstruction.
- Emphasis on clinical assessment and diagnostic interpretation.
Conclusions:
- Effective management hinges on a strong foundation of GI knowledge.
- Prompt diagnosis and intervention are critical for neonates.
- This review provides essential information for healthcare providers.
Abstract:
Providing care to neonates with bowel obstruction requires a basic understanding of gastrointestinal (GI) anatomy and functional landmarks as well as knowledge of the pathophysiology associated with intestinal blockage. Early recognition and prompt diagnosis necessitate astute assessment of common presenting symptoms and accurate interpretation of diagnostic investigations. Initial medical management is focused primarily on gastric decompression and maintenance of fluid and electrolyte balance. This article describes features of the neonatal GI tract and discusses common causes of neonatal bowel obstruction.
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