Related Experiment Video

Updated: Jun 20, 2025

Transuterine Fetal Tracheal Occlusion Model in Mice
06:31

Transuterine Fetal Tracheal Occlusion Model in Mice

Published on: February 5, 2021

3.1K

Small Bowel Obstruction Following Congenital Diaphragmatic Hernia Repair-Incidence and Risk Factors

Nicholas Schmoke1, Francesca Cali1, Terri Wilken1

  • 1Division of Pediatric Surgery, Department of Surgery, Columbia University Vagelos College of Physicians and Surgeons, NewYork-Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.

The American Surgeon
|July 20, 2024
PubMed

Insights

Small bowel obstruction (SBO) after congenital diaphragmatic hernia (CDH) repair is common, often requiring surgery. Higher illness acuity, including ECMO and additional abdominal surgeries, increases SBO risk.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neonatology

Background:

  • Small bowel obstruction (SBO) is a significant complication post-congenital diaphragmatic hernia (CDH) repair.
  • SBO can lead to increased morbidity and mortality in affected neonates.

Purpose of the Study:

  • To determine the incidence of SBO following CDH repair.
  • To identify risk factors associated with SBO development after CDH repair.

Main Methods:

  • Retrospective review of 120 CDH patients from January 2010 to September 2022.
  • Analysis of risk factors including operative approach, repair type, ECMO, and additional abdominal surgeries (gastrostomy tube, fundoplication).

Main Results:

  • 16% of patients developed SBO, primarily due to adhesive bands (94%).
  • Need for ECMO, prior gastrostomy tube, prior fundoplication, longer time to CDH repair, and longer initial hospitalization were significant risk factors.
  • 94% of SBO cases required surgical intervention.

Conclusions:

  • Neonates with higher illness acuity (ECMO, additional surgeries, prolonged hospitalization/repair time) face increased risk of adhesive SBO post-CDH repair.
  • SBO following CDH repair frequently necessitates surgical management.
Abstract

Keywords:
Herniascongenitaldiaphgramaticgastrointestinalintestinal obstructionpediatric surgery

More Related Videos

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

5.3K
A Mouse Model of Intestinal Partial Obstruction07:33

A Mouse Model of Intestinal Partial Obstruction

Published on: March 5, 2018

21.1K

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
139
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
71
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
79
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
210
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
54
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
80