Indications, Types and Outcomes of Resections for Acquired Intestinal Conditions in Children

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Surgical Outcomes

Background:

• Intestinal resection in children is necessary for nonviable or dysfunctional segments.
• Acquired conditions are a major cause of bowel resection in low- and middle-income countries (LMICs).
• The causes and types of intestinal resection differ between high-income countries (HICs) and LMICs.

Purpose of the Study:

• To investigate the indications for intestinal resection in children due to acquired conditions.
• To analyze the types of surgical procedures performed for acquired intestinal diseases.
• To evaluate the outcomes of intestinal resection in pediatric patients.

Main Methods:

• Retrospective review of pediatric bowel resections over a 10-year period.
• Data collected from a tertiary hospital setting.
• Statistical analysis using SPSS, including Fisher's exact test for significance.

Main Results:

• Complicated intussusception was the most frequent indication for resection.
• Right hemicolectomy was the most common procedure, more frequent in infants (p=0.0103).
• Ileal resection was more common in older children (p<0.001), with 35.8% experiencing complications and an 8.7% mortality rate.

Conclusions:

• Complicated intussusception is the primary acquired indication for pediatric intestinal resection.
• Surgical procedures like right hemicolectomy and ileal resection show age-specific trends.
• Understanding these trends is crucial for managing acquired pediatric bowel conditions.