Surgical Management of Intestinal Atresia and Obstruction in Neonates - Our Experience

Mohan, Moka Jagan; Balraj, Thatipamula Anil; S, Tanuja K D B

doi:10.14260/jemds/2017/19

jemds

2017

DOI: 10.14260/jemds/2017/19

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Surgical Management of Intestinal Atresia and Obstruction in Neonates - Our Experience

Moka Jagan Mohan¹,

Thatipamula Anil Balraj²,

Tanuja K D B S³

Abstract: BACKGROUNDThe neonatal period is defined as the first four weeks after birth. Intestinal atresia is the commonest cause of intestinal obstruction in the new born children. It requires early recognition and prompt treatment to obtain better outcome.The aim of the present study was to focus on aetiology, diagnosis and surgical management of intestinal atresia and obstruction in neonates.

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2021

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Demographic Pattern, Management, and Outcome of Intestinal Atresias Among Neonates in a Tertiary Care Indian Hospital

Tripathy

Jena

2021

Journal of Neonatology

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Objectives: To analyze the incidence, management approach, and outcome of intestinal atresias among neonates in our hospital. Design: Retrospective observational study. Settings: Tertiary care pediatric institute located in eastern part of India. Study period: January 2015 to December 2019. Results: Intestinal atresias constituted 54% of neonatal intestinal obstruction cases ( n = 369). Out of 201 cases of intestinal atresias, only 120 patients presented during first week of life and the male to female ratio was 1.3:1. The mean (±SD) weight at presentation was 2.03 (±0.49) kg and newborns below 1.5 kg were associated with significantly higher mortality ( P =.001). Jejunoileal atresias were found to be the most common type of atresia ( n = 116, 58%) followed by duodenal atresias ( n = 67, 33%). Colonic and pyloric atresias were found in 14 (7%) and 4 cases (2%), respectively. The overall mortality in the present study was 18% ( n = 36) and septicemia was the leading cause. Conclusion: Intestinal atresias were the most common cause of intestinal obstruction and surgical emergency in neonates. Although, there is gradual improvement in survival in these newborns, low birth weight, late presentation, and associated comorbidities are high risk factors. Increased awareness about these congenital anomalies, early referral to tertiary care centers, and timely management can improve the outcome.

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Demographic Pattern, Management, and Outcome of Intestinal Atresias Among Neonates in a Tertiary Care Indian Hospital

Tripathy

Jena

2021

Journal of Neonatology

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Surgical Management of Intestinal Atresia and Obstruction in Neonates - Our Experience

Cited by 1 publication

References 11 publications

Demographic Pattern, Management, and Outcome of Intestinal Atresias Among Neonates in a Tertiary Care Indian Hospital

Demographic Pattern, Management, and Outcome of Intestinal Atresias Among Neonates in a Tertiary Care Indian Hospital

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