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Acute segmental obstructing enteritis in children

H C Lee1, F Y Huang, C H Hsu

  • 1Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan, Republic of China.

Journal of Pediatric Gastroenterology and Nutrition
|January 1, 1994
PubMed
Summary
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This study describes acute segmental enteritis in 15 children, a condition causing intestinal obstruction. Most cases resolved with antibiotics, showing it

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Pediatrics

Background:

  • Acute segmental enteritis is a condition presenting with symptoms of intestinal obstruction in children.
  • This entity has not been previously reported in Chinese pediatric populations.

Purpose of the Study:

  • To describe the clinical characteristics, diagnostic findings, and management outcomes of acute segmental enteritis in children.
  • To report the first series of this disease in Chinese children.

Main Methods:

  • Retrospective review of 15 pediatric cases diagnosed with acute segmental enteritis and intestinal obstruction.
  • Clinical data including symptoms, laboratory findings, surgical exploration, and treatment responses were analyzed.

Main Results:

  • The condition presented with fever, leukocytosis, bilious vomiting, and abdominal pain indicative of obstruction.

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  • Exploration showed segmental ischemic changes in the small bowel; however, surgery was not required for most patients.
  • Antibiotic therapy was effective in nonoperative management, with a self-limited clinical course of 10-14 days and no mortality.

    • Conclusions:

    • Acute segmental enteritis is a distinct, self-limiting pediatric disease entity.
    • Nonoperative management with antibiotics is often sufficient, avoiding surgical intervention in most cases.
    • This report highlights the occurrence of this condition in Chinese children.