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Neonatal Duodenal Obstruction: A 15-Year Experience
Kamal Nain Rattan1, Jasbir Singh2, Poonam Dalal2
1Department of Pediatric Surgery, PGIMS, Rohtak, Haryana India 124001.
Journal of Neonatal Surgery
|April 29, 2016
Summary
Congenital duodenal obstruction is a common neonatal issue. Early diagnosis and surgical intervention significantly improve outcomes, while prematurity and sepsis increase mortality risks.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Gastrointestinal Surgery
Background:
- Congenital duodenal obstruction is a frequent cause of intestinal obstruction in newborns.
- This study analyzes a 15-year experience with neonates diagnosed with duodenal obstruction.
Purpose of the Study:
- To evaluate the clinical spectrum and outcomes of neonates with congenital duodenal obstruction.
- To identify factors influencing postoperative morbidity and mortality.
Main Methods:
- Retrospective review of hospital records for neonates admitted with duodenal obstruction (June 2000 - June 2015).
- Analysis included antenatal diagnosis, clinical presentation, associated anomalies, surgical procedures, and outcomes.
- Exclusion criteria: malrotation with congenital diaphragmatic hernia and abdominal wall defects.
Main Results:
- 81 neonates were included (56 males, 25 females).
- Common causes: duodenal atresia (46.9%) and malrotation of the gut (40.7%).
- 13.5% mortality rate, primarily due to sepsis and congenital anomalies.
Conclusions:
- Congenital duodenal obstruction typically presents with upper gastrointestinal obstruction symptoms in neonates.
- Early antenatal diagnosis and prompt surgical management are crucial for favorable outcomes.
- Associated anomalies, prematurity, sepsis, and delayed presentation are significant risk factors for mortality.
