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Published on: March 5, 2018

Congenital intrinsic intestinal obstruction in a Caribbean country

Trevor I Anatol1, Seetharaman Hariharan

  • 1Department of Clinical Surgical Sciences, Faculty of Medical Sciences, St. Augustine Campus, University of the West Indies, Trinidad and Tobago. trevana@wow.net

International Surgery
|March 2, 2010
PubMed

Insights

Congenital intrinsic intestinal obstruction in infants is a serious condition with a high complication rate (68.2%) and mortality (27.3%). Effective perioperative management of prematurity and sepsis is crucial for improving outcomes.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Gastrointestinal Surgery

Background:

  • Congenital intrinsic intestinal obstruction presents a significant challenge in pediatric surgery.
  • Understanding its clinical characteristics and outcomes is vital for developing effective treatment strategies.

Purpose of the Study:

  • To evaluate the clinical features, perioperative aspects, and outcomes of congenital intrinsic intestinal obstruction in infants.
  • To compare findings with existing international literature.

Main Methods:

  • Retrospective data collection from 1999-2006.
  • Inclusion of infants diagnosed with congenital intrinsic bowel obstruction.
  • Analysis of demographic, perioperative, surgical, and outcome data.

Main Results:

  • Twenty-two infants were treated, with an incidence of 3.14 per 10,000 live births.
  • Duodenal lesions were more common than jejuno-ileal lesions (1.5:1 ratio).
  • High complication (68.2%) and mortality (27.3%) rates were observed.

Conclusions:

  • Lower gestational age, elevated leukocyte count, and distal small bowel obstruction were linked to mortality.
  • Improved outcomes necessitate enhanced perioperative management of prematurity and sepsis.

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