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 |
Neonates, Intestinal, Obstruction
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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
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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Download@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}
}
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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