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[Mechanical ileus in childhood--causes and surgical therapy]

G Steinau1, C Emmonts, V Schumpelick

  • 1Universitätsklinikum Aachen, Chirurgische Klinik, Aachen, Germany. gsteinau@ukaachen.de

Zentralblatt Fur Chirurgie
|December 19, 2009
PubMed

Insights

Children undergoing surgery for mechanical ileus often have prior abdominal operations. Adhesions are the most common cause, requiring surgical intervention like adhesiolysis to restore gastrointestinal flow.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Abdominal Surgery

Context:

  • Mechanical ileus in children presents a significant surgical challenge.
  • Previous abdominal surgeries increase the risk of developing ileus.
  • Understanding the causes and management is crucial for pediatric surgical outcomes.

Purpose:

  • To investigate the causes of mechanical ileus in children.
  • To analyze the surgical management strategies for pediatric mechanical ileus.
  • To identify factors influencing the need for surgical intervention.

Summary:

  • A retrospective study of 89 children (up to 18 years) with mechanical ileus between 1996-2006.
  • Adhesions (56%) and bowel invagination (11%) were primary causes; 34% had associated malformations.
  • Adhesiolysis (62.9%) was the most common surgery, with 25.8% requiring bowel resection.

Impact:

  • Highlights the increased risk of ileus with prior operations.
  • Emphasizes timely surgical intervention for mechanical ileus in children.
  • Underscores the prevalence of congenital anomalies in pediatric ileus cases.
Abstract

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