:Purpose: In order to achieve the Millennium Development Goal (MDG) 4 target of a two-thirds reduction in under-five mortality from 1990 to 2015, major reductions are going to be required in neonatal mortality. Congenital anomalies have become the fourth cause of neonatal deaths and most of these are curable. Dhaka Medical College Hospital is the largest public hospital of the country and serving the poor and lower middle class people where surgery and medical facilities are mostly free of cost. This study was done to see the types of neonatal surgical patients admitted in this hospital and their management out come with limited facilities and find out the ways to improve the scenario to contribute in achieving the MDG.
Materials
Anorectal disorders include a diverse group of pathological disorders that generate significant patient discomfort and disability. Their prevalence in the general population is probably much higher than that seen in clinical practice, since most patients with symptoms referable to the anorectum do not seek medical attention .
Retrograde jejunogastric intussusception (RJGI) is a rare but potentially very serious complication of gastrojejunostomy or partial gastrectomy. Around 200 cases have been reported in literature till now. This paper reports two cases of RJGI of efferent loops developed 20 years and 10 years after gastrojejunostomy of a 70 years and 78 years old man respectively. Both the patients presented with sudden ab dominal pain and hematemesis. Upper GI-endoscopy established the diagnosis. On emergency basis laparotomy was done and intussusception was reduced through gastrotomy. Efferent loop was found viable in case no 01, but gangrenous in case no 02, where resection was done. In both the cases the efferent loops were fixed to anterior parietal wall to prevent recurrence. Postoperative recovery were uneventful except minor superficial wound infection in the second case.TAJ 2009; 22(1): 257-260
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