Bowel Obstruction in the First Month of Life

Document Type : Original Article

Author

Department of Pediatric Surgery, College of Medicine, University of Anbar, Anbar, Iraq

Abstract

Background: The aim of this study was to analyze the etiology, symptom frequency, management, and surgical outcome of gastrointestinal obstruction in the first month of life.
Methods: A total of 72 neonates with gastrointestinal obstruction were reviewed over a period of 16 months.
Results: The male to female ratio was 2.4:1. In this study, 75% of the neonates were presented in the first 7 days of life. The mean gestational age was 39.25 weeks. In addition, 68 of the neonates were term babies. The most common cause of admission was anorectal malformation (22%); furthermore, small bowel atresia was observed in 15% of the cases. Vomiting was the most common symptom of gastrointestinal obstruction reported in 31% of the cases, followed by abdominal distension. In this study, the overall mortality after surgery was 17%. The significant determining cause of mortality was sepsis reported in 33% of the cases.
Conclusion: Early referral, diagnosis, and treatment of gastrointestinal obstruction in neonates are needed to improve the survival outcome. The most common cause of neonatal gastrointestinal obstruction was found to be imperforate anus.

Keywords


1. Vincour DN, Lee EY, Eisenber RL. Neonatal intestinal obstruction. Am J Roentgenol. 2012; 198(1):W1-10.
2. Wylie R. Intestinal atresia, stenosis, and malrotation. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, editors. Nelson’s textbook of paediatrics. 18th ed. Philadelphia: Saunders-Elseiver; 2008. P. 1558-62.
3. Verma A, Rattan KN, Yadav R. Neonatal intestinal obstruction: a 15 year experience in a tertiary care hospital. J Clin Diagn Res. 2016; 10(2):SC10.
4. Pradesh A. A clinical study of neonatal intestinal obstruction. J Dent Med Sci. 2017; 16(8):8-14.
5. Gupta S, Gehlot H, Gupta A. A Clinicopathological study of neonatal intestinal obstruction pattern, management and various outcomes in babies admitted in tertiary care centre. J Med Sci Clin Res. 2018; 6(4):1113-9.
6. Singh V, Pathak M. Congenital neonatal intestinal obstruction: retrospective analysis at tertiary care hospital. J Neonatal Surg. 2016; 5(4):49.
7. Rao LD, Rao KV, Kameswari K. Neonatal intestinal obstruction. J Dent Med Sci. 2018; 17(2):50-3.
8. Mustefa M. Neonatal intestinal obstruction: a 3-year review in a teaching hospital Addis Ababa, Ethiopia. [Doctoral Dissertation]. Ethiopia: Addis Ababa University; 2010.
9. Ali I, Mufti GN, Bhat NA, Baba AA, Sheikh KA, Hamid R, et al. Assessment of predictors of mortality in neonatal intestinal obstruction. J Neonat Surg. 2018; 7(1):2.
10. Mohammed M, Amezene T, Tamirat M. Intestinal obstruction in early neonatal period: A 3-year review of admitted cases from a tertiary hospital in ethiopia. Ethiopian J Health Sci. 2017; 27(4):393-400.
11. Iqbal MZ, Ch NA, Tahir M. Neonatal intestinal obstruction an analysis of hospital data at pediatric surgery department Sheikh Zayed Hospital, Rahim Yar Khan. Age. 2014; 8(1):16-20.
12. Ntia HU, Udo JJ, Ochigbo SO, Amajor AC, Ikpeme A, Inyang A. Retrospective study of neonatal intestinal
obstruction in Calabar: Aetiology and outcome. Nigerian J Paediatr. 2014; 41(2):96-8.
13. Rathore D, Ramji J, Joshi R, Shah A, Dilhare T, Bachani M. Neonatal intestinal obstruction-four year experience. J Dent Med Sci. 2018; 17(2):50-3.
14. Hanif A, Hasina K, Islam MK, Matin MA, Talukder SA. Neonatal intestinal obstruction: six years’ experience in DMCH. Bangladesh, BJMS. 2009; 15(1):42-5.
15. Islam SS, Nowshad MA, Jator A, Faisal I, Ahmed M. Etiology and treatment outcome of neona tal intestinal obstruction in a tertiary hospital. J Teachers Assoc. 2009; 22(2):198-203.
16. Ademuyiwa AO, Sowande OA, Ijaduola TK, Adejuyigbe O. Determinants of mortality in neonatal intestinal obstruction in Ile Ife, Nigeria. Afr J Paediatr Surg. 2009; 6(1):11.
17. Osifo OD, Okolo JC. Neonatal intestinal obstruction in Benin, Nigeria. Afr J Paediatr Surg. 2009; 6(2):98.
18. Saha AK, Ali MB, Biswas SK, Sharif HZ, Azim A. Neonatal intestinal obstruction: patterns, problems and outcome. Bangladesh Med J Khulna. 2012; 45(1-2):6-10.