[Duodenal obstruction in the newborn infant]

Area of Science:

• Pediatric Surgery
• Neonatal Medicine
• Congenital Malformations

Context:

• Duodenal obstruction is a critical condition in newborns.
• Early diagnosis and management are crucial for infant survival.
• This study reviews cases from a specific hospital period.

Purpose:

• To analyze outcomes of neonatal duodenal obstruction.
• To identify prognostic factors influencing survival.
• To evaluate the role of birth weight and associated anomalies.

Summary:

• Nine neonates with duodenal obstruction (6 atresia, 3 stenosis) were analyzed.
• Patients were grouped by birth weight: >2.500g (good prognosis) and <2.500g (poor prognosis).
• All infants in the good prognosis group survived, while all in the poor prognosis group (with malformations) died, resulting in 4/9 overall mortality.

Impact:

• Infant birth weight appears to be a significant prognostic indicator for duodenal obstruction.
• The presence of associated congenital malformations is strongly linked to mortality.
• Findings highlight the importance of considering weight and comorbidities in managing neonatal duodenal obstruction.