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[Pathogenesis and therapy of ileus in childhood]
Langenbecks Archiv Fur Chirurgie
|January 1, 1985
Insights
This study treated 300 children with intestinal obstruction, finding a 6.3% overall lethality. Specialized techniques for volvulus and recurrent obstruction reduced mortality to 4.7% in specific cases.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Context:
- Intestinal obstruction in children presents significant surgical challenges.
- Malrotation-associated volvulus is a critical subtype requiring specific management.
- Previous treatments for complex cases had variable outcomes.
Purpose:
- To evaluate the outcomes of surgical interventions for pediatric intestinal obstruction.
- To assess the efficacy of a two-stage operation for hemorrhagic small bowel infarction.
- To determine the effectiveness of tube splinting for postoperative or recurrent intestinal obstruction.
Summary:
- A cohort of 300 children with intestinal obstruction was treated between 1975 and 1984, with an overall mortality of 6.3%.
- The two-stage operation was utilized in select cases of extensive small bowel hemorrhagic infarction due to malrotation-associated volvulus.
- Tube splinting was employed for 106 patients with postoperative or recurrent obstruction, achieving a reduced mortality rate of 4.7%.
Impact:
- Demonstrates improved survival rates for complex pediatric intestinal obstruction through tailored surgical approaches.
- Highlights the utility of specific techniques in managing life-threatening conditions like hemorrhagic infarction and recurrent obstruction.
- Provides valuable data for optimizing treatment strategies in pediatric gastrointestinal surgery.
Abstract:
Between 1975 and 1984 300 children with intestinal obstruction were treated (overall lethality 6.3%). A special problem are cases of volvulus, most on base of malrotation. In case of hermorrhagic infarction all over the small bowel the two-stage-operation has occasionally proved useful. In postoperative or recurrent obstruction a tube splinting of the intestine was used. The mortality of these patients - 106 cases since 1966 - comes to 4.7%.