Neonatal Intestinal Obstruction Syndrome

Gil-Vargas, Manuel; Miguel-Sardaneta, Mariana Lee; Rosas-Téllez, Michelle; Pereira-Reyes, Dayana; Justo-Janeiro, Jaime M

doi:10.3928/19382359-20180425-02

Cited by 16 publications

(15 citation statements)

References 7 publications

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“…Further it has been also observed that using oral non absorbable antibiotics with parenteral antibiotics reduced the surgical site infection by 43%. 9 Nutritional status of individual is another key factor for successful anastomosis. Many studies show that prolonged and shortterm malnutrition decreases anastomotic healing.…”

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confidence: 99%

Single layer versus double layer intestinal anastomoses: a comparative study

Kumar

2020

Int Surg J

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Background: There are still conflicting views regarding suitability of single layer and double layer anastomotic technique. This prospective single blinded randomized comparative study conducted at Rajendra Institute of Medical Sciences to assess various aspects viz. safety, efficacy, duration of hospital stays and chances of perforation in single- and double-layer anastomotic surgery.Methods: 26 patients each in single layer and double layer anastomosis group were included in the study. Single layer intestinal anastomosis was carried using extramucosal technique with 2-0 vicryl suture (round body). Double layer anastomosis was carried out using interrupted 3-0 silk lembert sutures for the outer layer and a continuous 2-0 vicryl for the inner layer. End to end colocolic, end to end ileocolic, end to side ileocolic, end to end ileoileal, side to side ileoileal, end to end jejunoileal and end to end jejunojejunal anastomosis were performed. Each group was compared for anastomotic leak, time required to construct the anastomosis, cost incurred, and length of hospital stay.Results: Findings of the study indicated that single layer is economical in comparison to double layer anastomosis and took significant less time to operate. There was no significant difference in hospital stay of the patients in two groups. There was no anastomotic leak in group-S (single layer) while one (3.8%) patient in group-D (double layer) suffered from anastomotic leak.Conclusions: It was concluded that single layer anastomosis method is beneficial and safe as it required less operative time, suturing material and no leak took place after surgery.

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confidence: 99%

Single layer versus double layer intestinal anastomoses: a comparative study

Kumar

2020

Int Surg J

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“…Jejunal duplication cysts frequently present neonatally or before two years of age [ 8 ]. The most common clinical presentations of jejunal duplication cysts include signs and symptoms of small bowel obstruction, including vomiting, abdominal pain, bloating, constipation, and abdominal masses [ 5 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Cystic nontubular jejunal duplication cysts represent an exceedingly rare subset of these duplication cysts [ 3 , 4 ]. Clinically, jejunal duplication cysts present with a vague constellation of symptoms, including bilious vomiting, abdominal pain, bloating, and constipation, alluding to an underlying small bowel obstruction [ 5 ]. Here, we chronicle the case of a two-month-old girl who presented with a two-day history of bilious vomiting, constipation, and abdominal distension.…”

Section: Introductionmentioning

confidence: 99%

Cystic Nontubular Jejunal Duplication Cyst Presenting As Acute Intestinal Obstruction: A Surgical Challenge

Syed¹,

Faqeeh²,

Almas³

et al. 2021

Cureus

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Enteric duplication cysts are rare congenital anomalies that present with a vague constellation of symptoms such as vomiting and abdominal distension. Of these, cystic nontubular jejunal duplication cysts comprise an exceedingly small subset. Here, we delineate the case of a two-month-old female baby who presented with symptoms suggestive of acute intestinal obstruction. Radiological workup divulged a cystic lesion, which was subsequently confirmed to be a cystic nontubular jejunal duplication cyst with extensive intestinal wall sharing. Surgical excision was planned but posed a remarkable surgical challenge due to intestinal wall sharing and the cyst's exceedingly fibrotic nature.

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“…Maternal polyhydramnios may suggest upper bowel obstruction. Upper and lower gastrointestinal tract contrast studies may be required in some cases [7]. Management of NIO is multidisciplinary.…”

Section: Introductionmentioning

confidence: 99%

“…Management of NIO is multidisciplinary. There is need for joint collaboration between the obstetrician at the time of prenatal diagnosis, the pediatrician that accepts the newborn in the delivery room, and the pediatric surgeon, who will determine the treatment according to the etiology [7]. Early diagnosis, prompt diagnosis and appropriate treatment have improved the outcome of NIO.…”

Section: Introductionmentioning

confidence: 99%

Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria

Emeka¹,

Arinola²,

Ekwochi³

et al. 2019

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Background: Neonatal intestinal obstruction is one of the most common surgical emergencies in a newborn requiring the services of a pediatric surgeon. This study reports the etiology, sex incidence, age of presentation, management and outcome of neonatal intestinal obstruction in pediatric surgical unit of a tertiary hospital in Enugu, Nigeria. Methodology: This was a retrospective study of neonates who presented, at Enugu State University Teaching Hospital, with intestinal obstruction over a 5-year period. Result: Thirty five neonates were recruited into the study. There were 24 (68.6%) males and 11 (31.4%) females. Five patients (14.3%) were delivered before term (preterm) while thirty patients (85.7%) were delivered at term. Most of the patients (54.3%) presented after 72 hours from onset of symptoms. Abdominal distension was the most common symptomatology recorded in our patients. Necrotizing enterocolitis was the most common etiology in our patients accounting for 17 neonates (48.6%). This was followed by anorectal malformation 5 (14.3%), obstructed hernia 4 (11.4%), intestinal atresia 4 (11.4%), Hirschsprung's disease 3 (8.6%), meconium plug 2 (5.7%). Colostomy formation was the most common surgical procedure performed. Twenty percent of our patients developed post-operative complication and mortality was 22.9%. Conclusion: Necrotizing enterocolitis is the most common cause of neonatal intestinal obstruction in the current study. With the mortality of 22.9%, the outcome in our patients is still poor and requires some improvements.

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Neonatal Intestinal Obstruction Syndrome

Cited by 16 publications

References 7 publications

Single layer versus double layer intestinal anastomoses: a comparative study

Single layer versus double layer intestinal anastomoses: a comparative study

Cystic Nontubular Jejunal Duplication Cyst Presenting As Acute Intestinal Obstruction: A Surgical Challenge

Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria

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