Incidence and outcome of neonatal Hirschprung’s disease in a government tertiary care setup
Journal Title: Medpulse International Journal of Pediatrics - Year 2019, Vol 10, Issue 2
Abstract
Objective:The main objective of this study was to know the Incidence and outcome of neonatal Hirschprung’s Disease in a government tertiary care setup.Methods:It was a cross sectional retrospective study,neonates admitted with history of abdominal distension, delayed passage of meconium at birth and constipation into NICU of government tertiary care center, Mysore were included. The information was obtained over a period of 6 months between January 2017 to June 2017 by collecting the case details from medical records.Results: There were total admission of 1531 in the NICU between January 2017 to June 2017.Out of which 45 neonates presented with different complaints , 26(57.7%) neonates presented with abdominal distension,17(47.7%) Presented with delayed passage of meconium, 2(4%) neonates presented with constipation Out of 45 cases presenting with above complaints, only 16 cases were diagnosed to be Hirschprung’s disease. Out of 16 cases of Hirschprungdisease, 14 cases were operated with primary procedure being the reversible colostomy. Two cases could not be operated, cases of sepsis with severe hemodynamic instability and both babies succumbed to death before surgery. Out of 14 cases which underwent primary surgery, 13 cases colostomy functioned well, babies were started on feeds by 48 hours, improved and discharged, one case died of sepsis following primary surgeryConclusion:Hirscprung’s disease is found to be one of the common surgical condition in our NICU with incidence being 35.5% and therefore high clinical suspicion,appropriate investigations and early surgery has better outcome
Authors and Affiliations
M Hamsa, Rudrappa Sudha, B N Shweta, K L Aravind
Keywords
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