Open AccessRetrospective Analysis of Congenital Neonatal Intestinal Obstruction in a Tertiary Care Hospital in Bangladesh
Author(s) -
Muhammad Rashedul Alam,
Tarafder Mohammad Atiquzzaman,
Md. Hasanuz zaman,
Sumona Haque
Publication year - 2022
Publication title -
sas journal of surgery
Language(s) - English
Resource type - Journals
ISSN - 2454-5104
DOI - 10.36347/sasjs.2022.v08i04.002
Subject(s) - medicine , volvulus , meconium , intestinal atresia , retrospective cohort study , gestational age , necrotizing enterocolitis , meconium ileus , surgery , abdominal distension , pediatrics , birth weight , ileus , vomiting , atresia , pregnancy , fetus , biology , genetics
Patients with congenital neonatal intestinal obstruction are the main bulk of neonatal surgical departments. The incidence is approximately 1 in 1500-2000 live birth. Commonly caused by anorectal malformation (ARM), intestinal atresia, hirschsprungs disease (HD), meconium ileus, malrotation of gut, volvulus neonatorum, necrotizing enterocolitis (NEC) and rarely bands adhesion. These patients presented with vomiting, gradual abdominal distension and delayed or no passes of meconium. Usually, an abdominal radiograph is all that is necessary to make the diagnosis, since the gas pattern is distinctive and often will be a clue to the site of obstruction. The aim of the study is to detect the type of congenital neonatal intestinal obstruction, initial surgical approaches, and their outcome in our hospital. Materials and methods: This is a retrospective study conducted at the division of pediatric surgery in Bangladesh Shishu hospital & institute, Dhaka, Bangladesh. The study period was 2 years from January 18 to December 19. All the neonates who underwent surgery for congenital neonatal intestinal obstruction were included. In this study only initial diagnosis, surgical procedure and outcome were included. Results: Our surgical department operated on a total of 246 neonates with congenital neonatal intestinal obstruction during this study period. Out of them, 139(56.50%) patients were male and 107 (43.50%) were female. The male-female ratio is 1.3:1. Gestational age was varied from 31 weeks to 40 weeks (Mean 36.2 weeks). Birth weight was from 1300 gm to 3800 gm (mean 2100gm). The most common cause of intestinal obstruction was ARM 72(29.27%), followed by hirschsprungs disease 53(21.54%), atresia 41(16.67%), meconium ileus 37(15.04%), malrotation of gut 28(11.38%) and other like bands adhesion, etc 15(6.09%). In case of atresia ileal atresia was common 16(39.02%) then jejunal 13(31.70%) and duodenal 9(21.95%). Only 3(7.31%) colonic atresia was found.