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Neonatal Intestinal Obstruction: Etiology, Management, and Outcomes in a Tertiary Care Center
Shrikesh Singh1, Saurabh Srivastav1, Neeti Agarwal2
1Paediatric Surgery, Dr Ram Manohar Lohia (RML) Institute of Medical Sciences, Lucknow, IND.
Cureus
|July 24, 2024
Summary
Neonatal intestinal obstruction requires prompt diagnosis and management. This study identified common causes and outcomes, highlighting areas for improved surgical care in newborns.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Gastrointestinal Surgery
Background:
- Neonatal intestinal obstruction is a critical surgical emergency.
- Outcomes are often poor in underdeveloped regions.
- Etiology, management, and outcomes require further investigation.
Purpose of the Study:
- To identify the causes of neonatal intestinal obstruction.
- To analyze management strategies.
- To evaluate patient outcomes at a specialized facility.
Main Methods:
- Retrospective study of 168 neonates undergoing surgery for intestinal obstruction (2021-2023).
- Documented clinical/demographic data, diagnoses, complications, and mortality.
- Evaluated risk factors like birth weight and gestational age.
Main Results:
- Most obstructions occurred within 7 days of birth; common causes include duodenal, ileal, jejunal, and colonic atresias.
- Postoperative complications affected 26.79% of patients, with septicemia being most frequent.
- Overall mortality was 10.12%, with 70.83% surviving without complications.
Conclusions:
- Prompt diagnosis and intervention are crucial for improving outcomes in neonatal intestinal obstruction.
- Effective management strategies are vital for enhancing patient survival and recovery.
- Findings offer insights for healthcare professionals to optimize neonatal surgical care.
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