Open AccessGastrointestinal perforations in newborns with high mortality: A series of 18 cases
Author(s) -
Monsoïa Gildas Yassegoungbe,
Beaudelaire Romulus Assan,
Amoussou Sèdjro Clotaire Roméo Houegban,
Djifid Morel Séto,
Codjo Serge Metchihoungbé,
Eudes Ulrich Elvis Mahoug Goudjo,
Houénoukpo Koco,
Sourou Bruno Noukpozounkou,
Aldrico Pautin Covi,
Michel Armand Fiogbe
Publication year - 2020
Publication title -
journal of neonatal surgery
Language(s) - English
Resource type - Journals
ISSN - 2226-0439
DOI - 10.47338/jns.v9.548
Subject(s) - medicine , necrotizing enterocolitis , perforation , neonatal intensive care unit , intestinal atresia , context (archaeology) , peritonitis , gastrointestinal perforation , etiology , sepsis , pediatrics , surgery , atresia , paleontology , materials science , biology , punching , metallurgy
Gastrointestinal perforations (GIP) in newborns are serious neonatal conditions that have significant morbidity and mortality, especially in resource constrained setups. This study was done to describe our experience of GIP in neonates and identify the factors leading to high mortality in our setup. We collected 18 cases with GIP in neonates. The average age was 5.7 days (range, 1-7 days). The sex ratio was 0.64. The average time to treatment was 3.3 days (range, 1-10 days). The etiology of GIP was perforated necrotizing enterocolitis (13 patients), spontaneous gastric perforation (2 patients), perforated ileal atresia (1 patient), ileal perforation complicating a strangulated inguinoscrotal hernia (1 patient), and peritonitis after colostomy (1 patient). Mortality was 77.8% (n=14), among which 9 newborns (64.3%) died preoperatively. Prematurity, management delay, and lack of a neonatal intensive care unit were the main poor prognostic factors. Mortality from GIP is still high in our context due to several factors, especially prematurity, management delay, and lack of a neonatal intensive care unit.