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Neonatal Intestinal Obstruction in Aba Nigeria

Received: 30 October 2018     Accepted: 16 November 2018     Published: 22 January 2019
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Abstract

Background: Intestinal obstruction in the neonate is a common indication for neonatal emergency surgery. Failure to pass meconium by a full-term neonate within the first 24 hours of life should raise a suspicion of bowel obstruction. The objective of this study was to determine pattern of presentation, diagnosis and outcome of management of intestinal obstruction in the neonates at the Abia State University Teaching Hospital Aba. Methodology: A Prospective study of fifty-four neonates who presented with clinical and radiological findings consistent with intestinal obstruction that was treated at Paediatric Surgical unit, Department of Surgery, of the Abia State University Teaching Hospital Aba between October 2016 to 0ctober 2018. Proforma was opened for sex, weight, age at presentation, clinical presentation, duration of symptoms prior to presentation, surgical pathology, treatment offered, complications and management outcome Results: During the twenty-five months period, Eight hundred babies were admitted at the special care baby unit of the hospital. Fifty-four babies (6.75%) of these were cases of neonatal intestinal obstruction. There were 40 males and 14 females, with male to female ratio of 4:1. The mean weight of the neonates was 2.5kg (range 1.1-4.3kg). The average age at operation was 3 days (1-15days), the mean duration of symptoms before presentation was 3.5days. The major indication for operation was Anorectal malformation 32 patients {59.3%}, Hirschsprung’s disease10 {18.5%}, Intestinal atresia 8 patients {14.8%}, obstructed hernia 4 patients {7.4%}. Conclusion: The morbidity and mortality of neonatal intestinal obstruction in this hospital is due to the problems of late presentation and poor neonatal intensive care facilities. The findings are at variance with those in developed countries.

Published in European Journal of Clinical and Biomedical Sciences (Volume 4, Issue 6)
DOI 10.11648/j.ejcbs.20180406.11
Page(s) 69-72
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Neonates, Intestinal, Obstruction

References
[1] Mustefa Mohammed, Tadesse Amezene , Moges Tamirat. Intestinal Obstruction in Early Neonatal Period: A 3-Year Review of Admitted Cases from a Tertiary Hospital in Ethiopia. Ethiop J Health Sci 2017; 27(4): 393.
[2] Samuel Chidi Ekpemo, Ndubuisi Eleweke, Nneka Okoronkwo, Chapp-Jumbo Assumpta. Challenges and Outcome of Neonatal Surgery at the Abia State University Teaching Hospital Aba Nigeria. American Journal of Biomedical and Life Sciences. 2018, Vol. 6, No. 4, pp. 69-72.
[3] Ameh EA, Chirdan B L. Neonatal intestinal obstruction in Zaria, Nigeria. East Afr Med J. 2000; 77: 510-513.
[4] Momoh J. T. Pattern of neonatal intestinal obstruction in Zaria, northern Nigeria. East Afr. Med. J. 1982; 59: 819-82.
[5] Adejuyibge O, Jeje E. A., Owa J. and Adeoba E. A. Neonatal intestinal obstruction in lle-lfe, Nigeria. Nig. Med. J. 1992; 22: 24 - 28.
[6] Olumide F., Adedeji A. and Adesola A. O. Intestinal obstruction in Nigerian children. J. Paediat. Surg. 1976; 11: 195-204.
[7] Klein M. D., Coran A. G., Wesley J. R. and Drongowski R. A. Hirschsprung’s disease in the newborn. J. Paediat. Surg. 1984; 19: 370 – 37.
[8] Lister J. Development in neonatal surgery 1995 -1980. J. Roy Coll. Surg. Edinb. 1980; 25: 324 - 332.
[9] Touloukian R. J. Intestinal atresia and stenosis. In: Ashcraft K. W., Holder T. M. (eds), Paediatric Surgery, WB Saunders Company, Philadelphia, 1993: 305 - 319.
[10] Sowande OA, Ogundoyin OO, Adejuigbe O. Pattern and factors affecting management outcome of neonatal emergency surgery in Ile Ife Nigeria. Surg Pract 2007; 11: 71-78.
[11] Ameh EA. Challenges of neonatal surgery in sub-saharan Africa. Afr J Paediatr Surg 2004; 1: 43-48.
[12] Osifo OD, Ovueni ME. The prevalence, pattern and causes of death at two African referral paediatric surgical centers. Ann Pediatr Surg 2009; 5: 194-199.
[13] Ekwunife OH, Okpata A, Ugwu JO, Osuigwe AN. Outcome of neonatal surgeries in Nnewi Nigeria. Ann Pediatr Surg 2015; 11: 132-135.
[14] Maung M. and Saing H. Intestinal volvulus: an experience in a developing country. J. Paediat. Surg 1995; 30: 679-681.
[15] Atwell J. D. Neonatal intestinal obstruction. In: Atwell J. D. (ed), Paediatric Surgery, Anorld, London, 1998: 197-20.
[16] Ekenze SO, Ibeziako SN, Ezomike U. Trends in neonatal intestinal obstruction in a developing country, 1996–2005. World J Surg 2007; 31: 2405–2409.
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  • APA Style

    Samuel Chidi Ekpemo, Nneka Okoronkwo. (2019). Neonatal Intestinal Obstruction in Aba Nigeria. European Journal of Clinical and Biomedical Sciences, 4(6), 69-72. https://doi.org/10.11648/j.ejcbs.20180406.11

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    ACS Style

    Samuel Chidi Ekpemo; Nneka Okoronkwo. Neonatal Intestinal Obstruction in Aba Nigeria. Eur. J. Clin. Biomed. Sci. 2019, 4(6), 69-72. doi: 10.11648/j.ejcbs.20180406.11

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    AMA Style

    Samuel Chidi Ekpemo, Nneka Okoronkwo. Neonatal Intestinal Obstruction in Aba Nigeria. Eur J Clin Biomed Sci. 2019;4(6):69-72. doi: 10.11648/j.ejcbs.20180406.11

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  • @article{10.11648/j.ejcbs.20180406.11,
      author = {Samuel Chidi Ekpemo and Nneka Okoronkwo},
      title = {Neonatal Intestinal Obstruction in Aba Nigeria},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {4},
      number = {6},
      pages = {69-72},
      doi = {10.11648/j.ejcbs.20180406.11},
      url = {https://doi.org/10.11648/j.ejcbs.20180406.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20180406.11},
      abstract = {Background: Intestinal obstruction in the neonate is a common indication for neonatal emergency surgery. Failure to pass meconium by a full-term neonate within the first 24 hours of life should raise a suspicion of bowel obstruction. The objective of this study was to determine pattern of presentation, diagnosis and outcome of management of intestinal obstruction in the neonates at the Abia State University Teaching Hospital Aba. Methodology: A Prospective study of fifty-four neonates who presented with clinical and radiological findings consistent with intestinal obstruction that was treated at Paediatric Surgical unit, Department of Surgery, of the Abia State University Teaching Hospital Aba between October 2016 to 0ctober 2018. Proforma was opened for sex, weight, age at presentation, clinical presentation, duration of symptoms prior to presentation, surgical pathology, treatment offered, complications and management outcome Results: During the twenty-five months period, Eight hundred babies were admitted at the special care baby unit of the hospital. Fifty-four babies (6.75%) of these were cases of neonatal intestinal obstruction. There were 40 males and 14 females, with male to female ratio of 4:1. The mean weight of the neonates was 2.5kg (range 1.1-4.3kg). The average age at operation was 3 days (1-15days), the mean duration of symptoms before presentation was 3.5days. The major indication for operation was Anorectal malformation 32 patients {59.3%}, Hirschsprung’s disease10 {18.5%}, Intestinal atresia 8 patients {14.8%}, obstructed hernia 4 patients {7.4%}. Conclusion: The morbidity and mortality of neonatal intestinal obstruction in this hospital is due to the problems of late presentation and poor neonatal intensive care facilities. The findings are at variance with those in developed countries.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Neonatal Intestinal Obstruction in Aba Nigeria
    AU  - Samuel Chidi Ekpemo
    AU  - Nneka Okoronkwo
    Y1  - 2019/01/22
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ejcbs.20180406.11
    DO  - 10.11648/j.ejcbs.20180406.11
    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
    SP  - 69
    EP  - 72
    PB  - Science Publishing Group
    SN  - 2575-5005
    UR  - https://doi.org/10.11648/j.ejcbs.20180406.11
    AB  - Background: Intestinal obstruction in the neonate is a common indication for neonatal emergency surgery. Failure to pass meconium by a full-term neonate within the first 24 hours of life should raise a suspicion of bowel obstruction. The objective of this study was to determine pattern of presentation, diagnosis and outcome of management of intestinal obstruction in the neonates at the Abia State University Teaching Hospital Aba. Methodology: A Prospective study of fifty-four neonates who presented with clinical and radiological findings consistent with intestinal obstruction that was treated at Paediatric Surgical unit, Department of Surgery, of the Abia State University Teaching Hospital Aba between October 2016 to 0ctober 2018. Proforma was opened for sex, weight, age at presentation, clinical presentation, duration of symptoms prior to presentation, surgical pathology, treatment offered, complications and management outcome Results: During the twenty-five months period, Eight hundred babies were admitted at the special care baby unit of the hospital. Fifty-four babies (6.75%) of these were cases of neonatal intestinal obstruction. There were 40 males and 14 females, with male to female ratio of 4:1. The mean weight of the neonates was 2.5kg (range 1.1-4.3kg). The average age at operation was 3 days (1-15days), the mean duration of symptoms before presentation was 3.5days. The major indication for operation was Anorectal malformation 32 patients {59.3%}, Hirschsprung’s disease10 {18.5%}, Intestinal atresia 8 patients {14.8%}, obstructed hernia 4 patients {7.4%}. Conclusion: The morbidity and mortality of neonatal intestinal obstruction in this hospital is due to the problems of late presentation and poor neonatal intensive care facilities. The findings are at variance with those in developed countries.
    VL  - 4
    IS  - 6
    ER  - 

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Author Information
  • Department of Surgery, Abia State University, Aba, Nigeria

  • Department of Paediatrics, Abia State University, Aba, Nigeria

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