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Milk bolus obstruction in the neonate
Archives of Disease in Childhood
|January 1, 1977
Summary
Neonatal intestinal obstruction caused by inspissated milk curds is a treatable condition. Most affected infants recovered fully with medical or surgical intervention, suggesting dietary factors may play a role.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Gastroenterology
Background:
- Neonatal intestinal obstruction is a critical condition requiring prompt diagnosis and management.
- Inspissated milk curds present a specific, though less common, etiology for bowel obstruction in newborns.
Purpose of the Study:
- To report on the incidence, clinical presentation, diagnostic methods, and outcomes of neonatal intestinal obstruction due to inspissated milk curds.
- To evaluate treatment strategies and identify potential causes for this condition.
Main Methods:
- Retrospective case series analysis of 17 infants diagnosed with neonatal intestinal obstruction.
- Review of clinical records, diagnostic imaging (X-rays), and treatment outcomes (surgical vs. medical).
Main Results:
- Seventeen cases were identified over a 9-year period (1964-1972).
- Obstruction onset occurred between the 2nd and 10th day of life.
- Half of the infants presented with rectal bleeding; X-rays were diagnostic in most cases.
- All infants survived; 14 required surgery, and 3 were successfully treated with a Gastrografin enema.
Conclusions:
- Neonatal intestinal obstruction from inspissated milk curds is a manageable condition with a high survival rate.
- Incomplete absorption of solids, particularly milk fat, is a potential contributing factor.
- Prompt diagnosis and appropriate treatment, including medical management with enemas, are crucial for favorable outcomes.
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