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

U O Ezomike1, E I Nwangwu2, S O Ekenze3

  • 1Sub-Department of Pediatric Surgery, Faculty of Medical Sciences, College of Medicine University of Nigeria Teaching Hospital Ituku/Ozalla Campus,Nigeria.

West African Journal of Medicine
|March 10, 2020
PubMed

Insights

Complicated intussusception is the leading cause of pediatric intestinal resection for acquired conditions. Procedures varied by age, with higher rates of right hemicolectomy in infants and ileal resection in older 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.
Abstract

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