Volume 7, Issue 5, October 2019, Page: 138-142
Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria
Chukwubuike Kevin Emeka, Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria
Odetunde Oluwatoyin Arinola, Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria
Ekwochi Uchenna, Department of Pediatrics, Enugu State University Teaching Hospital, Enugu, Nigeria
Iheji Chukwunonso Chigozie, Department of Pediatrics, Enugu State University Teaching Hospital, Enugu, Nigeria
Eze Thaddeus Chikaodili, Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria
Received: Jul. 31, 2019;       Accepted: Aug. 18, 2019;       Published: Sep. 2, 2019
DOI: 10.11648/j.js.20190705.15      View  97      Downloads  20
Abstract
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.
Keywords
Intestinal Obstruction, Neonates, Necrotizing Enterocolitis
To cite this article
Chukwubuike Kevin Emeka, Odetunde Oluwatoyin Arinola, Ekwochi Uchenna, Iheji Chukwunonso Chigozie, Eze Thaddeus Chikaodili, Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria, Journal of Surgery. Vol. 7, No. 5, 2019, pp. 138-142. doi: 10.11648/j.js.20190705.15
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Adejuyigbe O, Jeje EA, Owa J, Adeoba EA. Neonatal intestinal obstruction in Ife, Nigeria. Niger Med J. 1992; 22: 24-28.
[2]
Osifo OD, Okolo JC. Neonatal Intestinal Obstruction in Benin, Nigeria. 2009; 6 (2): 98-101.
[3]
Nasir GA, Ralma S, Kadim AH. Neonatal intestinal obstruction. Eastern Mediterranean Health Journal. 2000; 6 (1): 187-193.
[4]
Juang D, Snyder CL. Neonatal Intestinal Obstruction. Surg Clin North Am. 2012; 92 (3): 685-711.
[5]
Mustefa Mohammed, Tadesse Amezene, Moges Tamirat. Intestinal Obstruction in Early Neonatal Period: A 3-Year Review of Admitted Cases from a Tertiary Hospital in Ethiopia. Ethiopia J Health. 2017; 27 (4): 393-400.
[6]
Ashrarur Rahman Mitul. Congenital Neonatal Intestinal Obstruction. J Neonatal Surg. 2016; 5 (4): 41.
[7]
Manuel Gil Vargas, Mariana L Miguel-Sardaneta, Michelle Rosas-Tellez, Dayana Pereira Reyes. Neonatal Intestinal Obstruction Syndrome. Pediatric Annals. 2018; 47 (5): e220-e225. doi: org/10.3928/19382359-20180425-02.
[8]
Kimura K. Bilious vomiting in the new born. Rapid diagnosis of intestinal obstruction. Am FAM physician. 2000; 61 (9): 2791-8.
[9]
Ademuyiwa AO, Sowande OA, Ijaduola TK, Adejuyigbe O. Determinants of Mortality in neonatal intestinal obstruction in Ile Ife, Nigeria. Afr J Paediatr Surg. 2009; 6 (1): 11-13. doi: 10.4103/0189-6725.48568.
[10]
Anjali Verma, Kamal Nain Rattan, Ravi Yadav. Neonatal Intestinal Obstruction: A 15 Year Experience in a Tertiary Care Hospital. J Clin Diagn Res. 2016; 10 (2): SC10-SC13.
[11]
Ameh EA, Chirdan LB. Neonatal Intestinal Ostruction in Zaria. East Afr Med J. 2000; 77 (9): 510-3.
[12]
Vijay Singh, Manish Pathak. Congenital Neonatal Intestinal Obstruction: Retrospective Analysis at Tertiary Care Hospital. J Neonatal Surg. 2016; 5 (4): 49.
[13]
Talari VK, Sipala SK. A Clinical Study of Neonatal Intestinal Obstruction. IOSR Journal of Dental and Medical Sciences. 2017; 16 (8): 8-14. doi: 10.9790/0853-1608030814.
[14]
Samuel Chidi Ekpemo, Nneka Okoronkwo. Neonatal Intestinal Obtruction in Aba, Nigeria. European Journal of Clinical and Biochemical Sciences. 2018; 4 (6): 69-72. doi: 10.11648/j.ejcbs.20180406.11.
[15]
Thompson AM, Bizzarro MJ. Necrotizing enterocolitis in newborns: pathogenesis, prevention and management. Drugs. 2008; 1227-38.
[16]
Klein MD, Coran AG, Wesley JR, Drongowski RA. Hirschsprung’s disease in the newborn. J Pediatr Surg. 1984; 19 (4): 370-4. doi: 10. 1016/s0022-3468(84)80255-9.
[17]
Lister J. Development of neonatal surgery 1955-1980. J R Coll Surg Edinb. 1980; 25 (5): 324-32.
[18]
Chirdan LB, Uba F, Pam SD. Intestinal atresia: Management problems in a developing country. Pediatr Surg Int. 2004; 20 (11-12): 834-7.
[19]
Momoh JT. Pattern of neonatal intestinal obstruction in Zaria-northern Nigeria. East Afr Med J. 1982; 59: 819-23.
[20]
Sowande OA, Ogundoyin OO, Adejuyigbe O. Pattern and factors affecting management outcome of neonatal emergency surgery in Ile Ife, Nigeria. Surgical Practice. 2007; 11 (2): 71-75. doi.org/10.1111/j.1744-1633.2007.00341.x.
[21]
Bustos LG, Orbea GC, Dominguez GO, Gallindo IA, Cano NI. Congenital anatomic gastrointestinal obstruction: prenatal diagnosis, morbidity and mortality. An Pediatr (Barc). 2006; 62 (2): 134-9.
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