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Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria

Received: 16 October 2019     Accepted: 7 November 2019     Published: 17 November 2019
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Abstract

Background: Paediatric intestinal obstruction is a common surgical emergency and is associated with lots of morbidity and mortality especially in developing countries. Paediatric intestinal obstruction differs from adult intestinal obstruction in terms of aetiology, presentation, management and outcome. This study reports the demography, diagnosis, management and outcome of paediatric intestinal obstruction in pediatric surgical unit of a tertiary hospital in Enugu, Nigeria. Methodology: This was a retrospective study of paediatric patients who presented with intestinal obstruction to the paediatric surgical unit of Enugu State University Teaching Hospital (ESUTH) Enugu, South East Nigeria. Children above one month of age but below 15 years, who presented with symptoms and signs of intestinal obstruction, were recruited for the study. Intestinal obstruction in neonates was excluded from this study. The study period was for one year, from January 1st 2018 to December 31st 2018. Result: During the period of the study 45 cases, 30 (66.7%) males and 15 (33.3%) females were managed. The mean age of the patients was 52.2 months. Abdominal pain was the most common presenting symptom and intussusception was the most common cause of intestinal obstruction. Forty two patients (93.3%) did well and were discharged. Two patients (4.4%) died while one patient (2.2%) was discharged against medical advice. Conclusion: Intussusception was the most common cause of intestinal obstruction in the current study. The mortality of 4.4% recorded in this study can be improved upon.

Published in European Journal of Preventive Medicine (Volume 7, Issue 6)
DOI 10.11648/j.ejpm.20190706.14
Page(s) 112-116
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Intestinal Obstruction, Paediatrics, Intussusception

References
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Cite This Article
  • APA Style

    Chukwubuike Kevin Emeka, Ozor Ignatius Ikemefuna, Enebe Joseph Tochukwu. (2019). Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria. European Journal of Preventive Medicine, 7(6), 112-116. https://doi.org/10.11648/j.ejpm.20190706.14

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    ACS Style

    Chukwubuike Kevin Emeka; Ozor Ignatius Ikemefuna; Enebe Joseph Tochukwu. Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria. Eur. J. Prev. Med. 2019, 7(6), 112-116. doi: 10.11648/j.ejpm.20190706.14

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    AMA Style

    Chukwubuike Kevin Emeka, Ozor Ignatius Ikemefuna, Enebe Joseph Tochukwu. Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria. Eur J Prev Med. 2019;7(6):112-116. doi: 10.11648/j.ejpm.20190706.14

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  • @article{10.11648/j.ejpm.20190706.14,
      author = {Chukwubuike Kevin Emeka and Ozor Ignatius Ikemefuna and Enebe Joseph Tochukwu},
      title = {Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria},
      journal = {European Journal of Preventive Medicine},
      volume = {7},
      number = {6},
      pages = {112-116},
      doi = {10.11648/j.ejpm.20190706.14},
      url = {https://doi.org/10.11648/j.ejpm.20190706.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20190706.14},
      abstract = {Background: Paediatric intestinal obstruction is a common surgical emergency and is associated with lots of morbidity and mortality especially in developing countries. Paediatric intestinal obstruction differs from adult intestinal obstruction in terms of aetiology, presentation, management and outcome. This study reports the demography, diagnosis, management and outcome of paediatric intestinal obstruction in pediatric surgical unit of a tertiary hospital in Enugu, Nigeria. Methodology: This was a retrospective study of paediatric patients who presented with intestinal obstruction to the paediatric surgical unit of Enugu State University Teaching Hospital (ESUTH) Enugu, South East Nigeria. Children above one month of age but below 15 years, who presented with symptoms and signs of intestinal obstruction, were recruited for the study. Intestinal obstruction in neonates was excluded from this study. The study period was for one year, from January 1st 2018 to December 31st 2018. Result: During the period of the study 45 cases, 30 (66.7%) males and 15 (33.3%) females were managed. The mean age of the patients was 52.2 months. Abdominal pain was the most common presenting symptom and intussusception was the most common cause of intestinal obstruction. Forty two patients (93.3%) did well and were discharged. Two patients (4.4%) died while one patient (2.2%) was discharged against medical advice. Conclusion: Intussusception was the most common cause of intestinal obstruction in the current study. The mortality of 4.4% recorded in this study can be improved upon.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria
    AU  - Chukwubuike Kevin Emeka
    AU  - Ozor Ignatius Ikemefuna
    AU  - Enebe Joseph Tochukwu
    Y1  - 2019/11/17
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ejpm.20190706.14
    DO  - 10.11648/j.ejpm.20190706.14
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 112
    EP  - 116
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20190706.14
    AB  - Background: Paediatric intestinal obstruction is a common surgical emergency and is associated with lots of morbidity and mortality especially in developing countries. Paediatric intestinal obstruction differs from adult intestinal obstruction in terms of aetiology, presentation, management and outcome. This study reports the demography, diagnosis, management and outcome of paediatric intestinal obstruction in pediatric surgical unit of a tertiary hospital in Enugu, Nigeria. Methodology: This was a retrospective study of paediatric patients who presented with intestinal obstruction to the paediatric surgical unit of Enugu State University Teaching Hospital (ESUTH) Enugu, South East Nigeria. Children above one month of age but below 15 years, who presented with symptoms and signs of intestinal obstruction, were recruited for the study. Intestinal obstruction in neonates was excluded from this study. The study period was for one year, from January 1st 2018 to December 31st 2018. Result: During the period of the study 45 cases, 30 (66.7%) males and 15 (33.3%) females were managed. The mean age of the patients was 52.2 months. Abdominal pain was the most common presenting symptom and intussusception was the most common cause of intestinal obstruction. Forty two patients (93.3%) did well and were discharged. Two patients (4.4%) died while one patient (2.2%) was discharged against medical advice. Conclusion: Intussusception was the most common cause of intestinal obstruction in the current study. The mortality of 4.4% recorded in this study can be improved upon.
    VL  - 7
    IS  - 6
    ER  - 

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Author Information
  • Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria

  • Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria

  • Department of Obstetrics and Gynecology, Enugu State University Teaching Hospital, Enugu, Nigeria

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