Background: Following an injury, the peritoneum tries to repair itself through biochemical and cellular responses. These responses result in the formation of adhesions that may cause bowel obstruction. Methodology: This was a retrospective review of children who presented, to our pediatric surgery unit, with adhesive intestinal obstruction (AIO) between January 2008 and December 2017. The patients were reviewed for age at diagnosis of AIO, gender, age at initial surgery, time interval from the initial surgery to the development of AIO, type of initial surgery, duration of symptoms before presentation, treatment and outcome. Result: Thirty four children were admitted with AIO. There were 24 males and 10 females with 36 episodes of bowel obstructions. The mean age of the patients at diagnosis of AIO was 81.5 months (range: 12 - 168) whereas the mean age of the patients at initial surgery was 59.7 months (range: 1 - 144). The mean interval between the initial surgery and onset of AIO was 23.2 months (range: 11-48). Majority of the patients (44.1%) developed AIO within 12 months after their initial surgery. Laparotomy for typhoid intestinal perforation was the most common initial procedure that led to AIO. Non-operative treatment was successful in twenty three patients (67.6%) while ten patients (29.5%) had surgery. One patient (2.9%) was discharged against medical advice. There was no mortality. Conclusion: AIO is uncommon in children. In this series, laparotomy for typhoid intestinal obstruction was the most common operation leading to AIO. Non-operative treatment was effective in two-third of our patients.
| Published in | International Journal of Anesthesia and Clinical Medicine (Volume 7, Issue 2) |
| DOI | 10.11648/j.ijacm.20190702.15 |
| Page(s) | 50-54 |
| 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 |
Intestinal Obstruction, Children, Adhesive, Experience
| [1] | Aguayo P, Ho B, Fraser JD, Gamis A, Peter SD, Snyder CL. Bowel obstruction after treatment of intra-abdominal tumors. Eur J Pediatr Surg. 2010; 20 (4): 234-6. doi: 1055/s-0030-1253401. |
| [2] | El Gohary Y, Alagtal M, Gillick J. Long term complications following operative intervention for intestinal malrotation; a 10-year review. Pediatr Surg Int. 2010; 26: 203-6. |
| [3] | Grant HW, Parker MC, Wilson MS, Menzies D, Sunderland G, Thompson JN, Clark DN, Knight AD, Crowe AM, Ellis H. Population-based analysis of the risk of adhesion-related readmission after abdominal surgery. J Pediatr Surg. 2016; 4 (8): 1453-6. |
| [4] | Festen E. Postoperative small bowel obstruction in infants and children. Ann Surg. 1982; 196: 580-3. |
| [5] | Vijay K, Anindya C, Bhanu P, Mohan M, Rao PL. Adhesive Small Bowel Obstruction (ASBO) in Children-Role of conservative Management. Med J Malaysia. 2005; 60 (1): 81-84. |
| [6] | Holland-Cunz S, Boelter AV, Waag KL. Protective fibrin-sealed plication of the small bowel in recurrent laparotomy. Pediatr Surg Int. 2003; 19: 540-3. |
| [7] | Becker JM, Stuchi AF. Intra-abdominal adhesion prevention: Are we getting any closer, Ann Surg. 2004; 240: 202-4. |
| [8] | Wilkins BM, Spit L. Incidence of postoperative adhesion obstruction following neonatal laparotomy. Br J Surg. 1986; 73 (9): 762-4. |
| [9] | Janik JE, Ein SH, Filler RM. An assessment of the surgical management of adhesive small bowel obstruction in infants and children. J Pediatr Surg. 1981; 16 (3): 225-9. |
| [10] | Akgur FM, Tanyel FC, Buyukpamukcu N, Hicsonmez A. Adhesive small bowel obstruction in children: the place and predictors of success for conservative treatment. J Pediatr Surg. 1991; 26 (1): 37-41. |
| [11] | Hofstetter SR. Acute adhesive obstruction of small intestine. Surg Gynecol Obstet. 1981; 152: 14-44. |
| [12] | Ellis H, Moran BJ, Thompson JN, Parker MC, Wilson MS, Menzies D, McGuire A, Lower AM, Hawthorn RJ, O’Brian F, Bucham S, Crowe AM. Adhesion-related hospital readmission after abdominal and pelvic surgery: a retrospective cohort study. Lancet. 1999; 353 (9163): 1476-80. |
| [13] | Duron JJ, Da Silva NJ, Montcell ST, Berger A, Muscari F, Hennet H, Veyrieres M, Hay JM. Adhesive Postoperative Small Bowel Obstruction: Incidence and Risk Factors of Recurrence After Surgical Treatment. Ann Surg. 2006; 244 (5): 750-57. |
| [14] | Alwan MH, van Rij AM, Greig SF. Postoperative adhesive small bowel obstruction: the resources impacts. N Z Med J. 1999; 12 (1099): 421-23. |
| [15] | Isa MA, Bodnar OB. Hyaluronic acid solution as a treatment of adhesive intestinal obstruction in children-A positive effect. Porto Biomedical Journal. 2017; 2 (5): 246. doi: 10.1016/j.pbj.2017.07.164 |
| [16] | Nasir AA, Abdur-Rahman LO, Bamigbola KT, Oyinloye AO, Abdulraheem NT, Adeniran JO. Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children. Afr J Paediatr Surg. 2013; 10: 259-64. |
| [17] | Ahberg G, Bergdahl S, Retuist J, Soderquist C, Frenckner B. Mechanical small bowel obstruction after conventional appendectomy in children. Eur J Pediatr Surg. 1977; 7: 13-15. |
| [18] | Al-Salem AH, Oquaish M. Adhesive Intestinal Obstruction in Infants and Children: The Place of Conservative Treatment. ISRN Surgery. 2011; Article ID 645104, 4 pages. doi: 10.5402/2011/645104 |
| [19] | Chirdan LB, Soo CT, Osagie OO, Uba AF. Small Intestinal Obstruction from Peritoneal Adhesions in Children. J West Afr Coll Surg. 2011; 1 (1): 68-79. |
| [20] | Ameh EA, Nmadu PT. Adhesion intestinal obstruction in northern Nigeria. Trop Doct. 2004; 34 (2): 104-6. doi: 10.1177/004947550403400219. |
| [21] | Lin LH, Lee CY, Hung MH, Chen DF. Conservative treatment of adhesive small bowel obstruction in children: a systemic review. BMJ Open. 2014; 4 (9): e005789. doi: 10.1136/bmjopen.2014-005789. |
| [22] | Feigin E, Kravarusic D, Goldrat I, Steinberg R, Dlugy E, Baazov A. The 16 golden hours for conservative treatment in children with postoperative small bowel obstruction. J Pediatr Surg. 2010; 45: 966-8. |
| [23] | Eeson GA, Wales P, Murphy JJ. Adhesive small bowel obstruction in children: should we still operate? J Pediatr Surg. 2010; 45 (5): 969-74. doi: 10.1016/j.pedsurg.2010.02.030. |
| [24] | Lautz TB, Raval MV, Reynolds M, Barsness KA, Adhesive small bowel obstruction in children and adolescents: Operative utilization and factors associated with bowel loss. J Am Coll Surg. 2011; 212: 855-61. |
| [25] | Osifo OD, Ovueni ME. Is nonoperative management of adhesive intestinal obstruction applicable to children in a resource-poor country? Afr J Paediatr Surg. 2010; 7 (2): 66-70. doi: 10.4103/0189-6725.62843. |
APA Style
Chukwubuike Kevin Emeka, Nduagubam Obinna Chukwuebuka, Eze Thaddeus Chikaodili. (2019). Adhesive Intestinal Obstruction in Children: A 10-Year Experience in a Teaching Hospital in Enugu, Nigeria. International Journal of Anesthesia and Clinical Medicine, 7(2), 50-54. https://doi.org/10.11648/j.ijacm.20190702.15
ACS Style
Chukwubuike Kevin Emeka; Nduagubam Obinna Chukwuebuka; Eze Thaddeus Chikaodili. Adhesive Intestinal Obstruction in Children: A 10-Year Experience in a Teaching Hospital in Enugu, Nigeria. Int. J. Anesth. Clin. Med. 2019, 7(2), 50-54. doi: 10.11648/j.ijacm.20190702.15
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Download@article{10.11648/j.ijacm.20190702.15,
author = {Chukwubuike Kevin Emeka and Nduagubam Obinna Chukwuebuka and Eze Thaddeus Chikaodili},
title = {Adhesive Intestinal Obstruction in Children: A 10-Year Experience in a Teaching Hospital in Enugu, Nigeria},
journal = {International Journal of Anesthesia and Clinical Medicine},
volume = {7},
number = {2},
pages = {50-54},
doi = {10.11648/j.ijacm.20190702.15},
url = {https://doi.org/10.11648/j.ijacm.20190702.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20190702.15},
abstract = {Background: Following an injury, the peritoneum tries to repair itself through biochemical and cellular responses. These responses result in the formation of adhesions that may cause bowel obstruction. Methodology: This was a retrospective review of children who presented, to our pediatric surgery unit, with adhesive intestinal obstruction (AIO) between January 2008 and December 2017. The patients were reviewed for age at diagnosis of AIO, gender, age at initial surgery, time interval from the initial surgery to the development of AIO, type of initial surgery, duration of symptoms before presentation, treatment and outcome. Result: Thirty four children were admitted with AIO. There were 24 males and 10 females with 36 episodes of bowel obstructions. The mean age of the patients at diagnosis of AIO was 81.5 months (range: 12 - 168) whereas the mean age of the patients at initial surgery was 59.7 months (range: 1 - 144). The mean interval between the initial surgery and onset of AIO was 23.2 months (range: 11-48). Majority of the patients (44.1%) developed AIO within 12 months after their initial surgery. Laparotomy for typhoid intestinal perforation was the most common initial procedure that led to AIO. Non-operative treatment was successful in twenty three patients (67.6%) while ten patients (29.5%) had surgery. One patient (2.9%) was discharged against medical advice. There was no mortality. Conclusion: AIO is uncommon in children. In this series, laparotomy for typhoid intestinal obstruction was the most common operation leading to AIO. Non-operative treatment was effective in two-third of our patients.},
year = {2019}
}
TY - JOUR T1 - Adhesive Intestinal Obstruction in Children: A 10-Year Experience in a Teaching Hospital in Enugu, Nigeria AU - Chukwubuike Kevin Emeka AU - Nduagubam Obinna Chukwuebuka AU - Eze Thaddeus Chikaodili Y1 - 2019/12/02 PY - 2019 N1 - https://doi.org/10.11648/j.ijacm.20190702.15 DO - 10.11648/j.ijacm.20190702.15 T2 - International Journal of Anesthesia and Clinical Medicine JF - International Journal of Anesthesia and Clinical Medicine JO - International Journal of Anesthesia and Clinical Medicine SP - 50 EP - 54 PB - Science Publishing Group SN - 2997-2698 UR - https://doi.org/10.11648/j.ijacm.20190702.15 AB - Background: Following an injury, the peritoneum tries to repair itself through biochemical and cellular responses. These responses result in the formation of adhesions that may cause bowel obstruction. Methodology: This was a retrospective review of children who presented, to our pediatric surgery unit, with adhesive intestinal obstruction (AIO) between January 2008 and December 2017. The patients were reviewed for age at diagnosis of AIO, gender, age at initial surgery, time interval from the initial surgery to the development of AIO, type of initial surgery, duration of symptoms before presentation, treatment and outcome. Result: Thirty four children were admitted with AIO. There were 24 males and 10 females with 36 episodes of bowel obstructions. The mean age of the patients at diagnosis of AIO was 81.5 months (range: 12 - 168) whereas the mean age of the patients at initial surgery was 59.7 months (range: 1 - 144). The mean interval between the initial surgery and onset of AIO was 23.2 months (range: 11-48). Majority of the patients (44.1%) developed AIO within 12 months after their initial surgery. Laparotomy for typhoid intestinal perforation was the most common initial procedure that led to AIO. Non-operative treatment was successful in twenty three patients (67.6%) while ten patients (29.5%) had surgery. One patient (2.9%) was discharged against medical advice. There was no mortality. Conclusion: AIO is uncommon in children. In this series, laparotomy for typhoid intestinal obstruction was the most common operation leading to AIO. Non-operative treatment was effective in two-third of our patients. VL - 7 IS - 2 ER -
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