Retrospective and Prospective Study of Neonatal Intestinal Obstruction
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 5
Abstract
Intestinal obstruction in neonates is a common surgical emergency which requires a team approach for optimal outcome, as most cases in this age group have a congenital cause for obstruction. In our study, the aetiology and factors affecting outcome (morbidity and mortality) of surgery in neonatal intestinal obstruction were evaluated which included a retrospective period from April 1, 2011 to February 28, 2013 and a prospective period from March 1, 2013 to October 31, 2014. A total of 50 neonates were included who underwent surgery for intestinal obstruction during the three years and 8 months study period. The outcome following surgery was classified into three types namely ‘alive without complications’(I), ‘alive with complications’(II) and ‘those who died’(III). Chi- square test was used to compare the difference with and without factors causing morbidity and mortality. It was observed that 58.0% (29/50) of the total neonates were alive without complications; 18.0% (9/50) were alive with complications and 24.0% (12/50) expired. The results of our study show that anorectal malformations (58%) are the leading cause of neonatal intestinal obstruction followed by Hirschsprung’s disease (12%), Intussusception (8%), Obstructed hernia (8%), Malrotation(6%), Intestinal atresia (4%) and Hypertrophic pyloric stenosis (4%). Abdominal distension, constipation, vomiting, delay or failure to pass meconium are the common modes of presentation in neonates. It was found that gestational age, birth weight and delay in presentation significantly affected the outcome. It was also derived that mode of delivery, age at presentation, preoperative morbidity and preoperative antibiotics did not affect the final outcome of neonatal intestinal obstruction.
Authors and Affiliations
Dr Amarjit Singh Kuka
Keywords
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