Meconium ileus

M M Ziegler1

  • 1Division of Pediatric Surgery, Children's Hospital Medical Center, University of Cincinnati College of Medicine, Ohio.

Current Problems in Surgery
|September 1, 1994
PubMed

Insights

Meconium ileus, often caused by cystic fibrosis, is a bowel obstruction treatable by surgery or non-surgical methods. Post-treatment care focuses on nutrition and lung health for cystic fibrosis patients.

Area of Science:

  • Pediatric Gastroenterology
  • Pulmonology
  • Medical Genetics

Background:

  • Meconium ileus is a significant intestinal obstruction in newborns.
  • It is frequently associated with cystic fibrosis, an autosomal recessive genetic disorder.
  • Both surgical and non-surgical interventions can resolve meconium ileus.

Purpose of the Study:

  • To outline the clinical presentation and management of meconium ileus.
  • To emphasize the link between meconium ileus and cystic fibrosis.
  • To discuss current and future therapeutic strategies for cystic fibrosis.

Main Methods:

  • Review of clinical manifestations and treatment outcomes for meconium ileus.
  • Discussion of diagnostic criteria for cystic fibrosis.
  • Overview of management principles for intestinal and pulmonary manifestations of cystic fibrosis.

Main Results:

  • Nonoperative and operative therapies are effective for meconium ileus relief.
  • Successful nonoperative treatment was historically linked to better outcomes.
  • Management involves enzyme replacement for intestinal issues and respiratory care for lung disease.

Conclusions:

  • Meconium ileus necessitates prompt diagnosis and treatment.
  • Cystic fibrosis management requires a multidisciplinary approach addressing both gastrointestinal and pulmonary systems.
  • Emerging therapies offer hope for improved long-term outcomes in cystic fibrosis patients.

Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...