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Related Experiment Video

Updated: Jun 21, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

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Published on: October 29, 2014

Bowel resection in Nigerian children.

L O Abdur-Rahman1, J O Adeniran, J O Taiwo

  • 1Department of Surgery, Paediatric Surgery Unit, University of Ilorin Teaching Hospital, Ilorin, Nigeria. bolarjide@yahoo.com

African Journal of Paediatric Surgery : AJPS
|August 8, 2009
PubMed
Summary

Bowel resections in children in developing countries are primarily for intussusception and typhoid ileal perforation. High rates of complications and mortality are linked to late presentation and malnutrition.

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Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Public Health in Developing Countries

Background:

  • Bowel resections in children are often due to acquired intestinal diseases in developing countries, unlike congenital causes in developed nations.
  • Neglected and preventable conditions contribute significantly to the need for pediatric bowel resections.

Purpose of the Study:

  • To investigate the primary indications for bowel resections in children.
  • To evaluate the outcomes, including complications and mortality rates, of pediatric bowel resections.
  • To analyze these factors within a university teaching hospital in a developing country.

Main Methods:

  • A retrospective analysis of pediatric patients (birth to 15 years) who underwent bowel resection.
  • Data collected over an eight-year period (January 1999 to December 2006).
  • Exclusion of patients with Hirschsprung's disease from the analysis.

Main Results:

  • Intussusception and typhoid ileal perforation (TIP) were the most frequent indications for bowel resection.
  • Complications, including wound infection and anastomotic leak, affected a significant portion of patients.
  • Overall mortality was high (17.1%), with the highest rates observed in neonates (56.3%).

Conclusions:

  • Intussusception and complications of TIP are the leading reasons for pediatric bowel resections in this setting.
  • Late presentation, malnutrition, and lack of parenteral nutrition contribute to poor patient outcomes.
  • Urgent interventions are needed to reduce the high morbidity and mortality associated with these procedures.