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Duodenal obstruction in Nigerian newborns and infants

S D Adeyemi1

  • 1Department of Surgery, Lagos University Teaching Hospital, University of Lagos, Nigeria.

Scandinavian Journal of Gastroenterology. Supplement
|January 1, 1986
PubMed

Insights

Congenital duodenal obstruction in infants is challenging in tropical settings. Early surgical intervention within 8 days significantly improves survival rates, reducing mortality.

Area of Science:

  • Pediatric Surgery
  • Neonatal Care
  • Tropical Medicine

Background:

  • Congenital duodenal obstruction presents unique challenges in tropical environments.
  • Management strategies require adaptation to resource-limited settings.
  • Understanding specific etiological factors is crucial for effective treatment.

Purpose of the Study:

  • To analyze the management of congenital duodenal obstruction in infants within a tropical setting.
  • To identify challenges and propose solutions for improving outcomes.
  • To evaluate the impact of presentation timing and available facilities on mortality.

Main Methods:

  • Retrospective analysis of 30 infants treated for duodenal obstruction.
  • Review of diagnoses including duodenal atresia, Ladd's bands, and duodenal diaphragm.
  • Assessment of associated anomalies and treatment outcomes.

Main Results:

  • Duodenal atresia was the most common diagnosis (50%), followed by Ladd's bands (23%) and duodenal diaphragm (20%).
  • Associated anomalies included distal bowel atresia, partial situs inversus, and Trisomy 21.
  • A 28% mortality rate was observed, with all deaths occurring in infants presenting after 8 days of life or with incomplete obstruction.

Conclusions:

  • Delay in presentation and inadequate facilities are significant barriers to successful management.
  • Timely surgical intervention, ideally within the first 8 days of life, dramatically improves survival.
  • Improving healthcare infrastructure and public health education can reduce mortality from congenital duodenal obstruction.

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