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Small intestinal obstruction from peritoneal adhesions in children small intestinal obstruction from peritoneal

Lb Chirdan1, Ct Soo1, Oo Osagie1

  • 1Jos University Teaching Hospital Paediatric Surgery Unit, Department of Surgery,PMB 2076, Jos, Nigeria.

Journal of the West African College of Surgeons
|December 3, 2014
PubMed

Insights

Postoperative adhesions causing small intestinal obstruction after laparotomy in children are common, especially after emergency surgery. Early suspicion of bowel gangrene is crucial to prevent mortality.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Surgical Complications

Background:

  • Peritoneal adhesions are a known complication following abdominal surgery.
  • Small intestinal obstruction (SIO) is a significant cause of morbidity in children post-laparotomy.

Purpose of the Study:

  • To determine the incidence of peritoneal adhesions causing SIO in children after laparotomy.
  • To identify risk factors and complications associated with SIO in this pediatric population.

Main Methods:

  • Retrospective review of 430 children under 15 years old who underwent trans-abdominal procedures.
  • Analysis of surgical records over a 7-year period, with follow-up ranging from 4 months to 7 years.

Main Results:

  • 4.8% of children experienced intra-operative confirmation of SIO.
  • Typhoid perforation laparotomy was the most common cause of adhesions leading to SIO (45%).
  • Emergency laparotomy increased the risk of SIO (p<0.025); 27.3% developed bowel gangrene.

Conclusions:

  • SIO due to adhesions requiring surgical intervention is not uncommon in children in this setting.
  • Bowel gangrene is a frequent complication of pediatric SIO, necessitating prompt diagnosis to reduce mortality and morbidity.
Abstract

Keywords:
AdhesionsIntestinal obstructionchildren

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