Opciones de tratamiento del síndrome de obstrucción intestinal distal: ¿y si los enemas fallan?

Neonatal Intestinal Obstruction Syndrome

“…Meconium ileus is the accumulation of viscous feces and a thick mucous secretion that adheres to the crypts of the terminal ileum and cecum that is difficult to mobilize. It is one of the common causes of neonatal intestinal obstruction (9%-33%); 17,18 it is also the first manifestation of cystic fibrosis in approximately 15% of newborns. 17,18 This complication presents itself with abdominal distention, failure to pass meconium, and fecal matter in the right iliac fossa that can be seen on an X-ray.…”

“…It is one of the common causes of neonatal intestinal obstruction (9%-33%); 17,18 it is also the first manifestation of cystic fibrosis in approximately 15% of newborns. 17,18 This complication presents itself with abdominal distention, failure to pass meconium, and fecal matter in the right iliac fossa that can be seen on an X-ray. 17,18 Meconium is characterized by extreme viscosity, being rich in proteins, and causing intraluminal obstruction.…”

“…17,18 This complication presents itself with abdominal distention, failure to pass meconium, and fecal matter in the right iliac fossa that can be seen on an X-ray. 17,18 Meconium is characterized by extreme viscosity, being rich in proteins, and causing intraluminal obstruction. 19 Patients with cystic fibrosis who present later in life with distal intestinal occlusion syndrome suffer from recurrent hospitalizations and the presence of pathogens in the airway 20 (Figure 2).…”