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Adhesive Intestinal Obstruction in Children: A 10-Year Experience in a Teaching Hospital in Enugu, Nigeria

Received: 1 November 2019     Accepted: 22 November 2019     Published: 2 December 2019
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Abstract

Background: Following an injury, the peritoneum tries to repair itself through biochemical and cellular responses. These responses result in the formation of adhesions that may cause bowel obstruction. Methodology: This was a retrospective review of children who presented, to our pediatric surgery unit, with adhesive intestinal obstruction (AIO) between January 2008 and December 2017. The patients were reviewed for age at diagnosis of AIO, gender, age at initial surgery, time interval from the initial surgery to the development of AIO, type of initial surgery, duration of symptoms before presentation, treatment and outcome. Result: Thirty four children were admitted with AIO. There were 24 males and 10 females with 36 episodes of bowel obstructions. The mean age of the patients at diagnosis of AIO was 81.5 months (range: 12 - 168) whereas the mean age of the patients at initial surgery was 59.7 months (range: 1 - 144). The mean interval between the initial surgery and onset of AIO was 23.2 months (range: 11-48). Majority of the patients (44.1%) developed AIO within 12 months after their initial surgery. Laparotomy for typhoid intestinal perforation was the most common initial procedure that led to AIO. Non-operative treatment was successful in twenty three patients (67.6%) while ten patients (29.5%) had surgery. One patient (2.9%) was discharged against medical advice. There was no mortality. Conclusion: AIO is uncommon in children. In this series, laparotomy for typhoid intestinal obstruction was the most common operation leading to AIO. Non-operative treatment was effective in two-third of our patients.

Published in International Journal of Anesthesia and Clinical Medicine (Volume 7, Issue 2)
DOI 10.11648/j.ijacm.20190702.15
Page(s) 50-54
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, Children, Adhesive, Experience

References
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Cite This Article
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    Chukwubuike Kevin Emeka, Nduagubam Obinna Chukwuebuka, Eze Thaddeus Chikaodili. (2019). Adhesive Intestinal Obstruction in Children: A 10-Year Experience in a Teaching Hospital in Enugu, Nigeria. International Journal of Anesthesia and Clinical Medicine, 7(2), 50-54. https://doi.org/10.11648/j.ijacm.20190702.15

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    ACS Style

    Chukwubuike Kevin Emeka; Nduagubam Obinna Chukwuebuka; Eze Thaddeus Chikaodili. Adhesive Intestinal Obstruction in Children: A 10-Year Experience in a Teaching Hospital in Enugu, Nigeria. Int. J. Anesth. Clin. Med. 2019, 7(2), 50-54. doi: 10.11648/j.ijacm.20190702.15

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    AMA Style

    Chukwubuike Kevin Emeka, Nduagubam Obinna Chukwuebuka, Eze Thaddeus Chikaodili. Adhesive Intestinal Obstruction in Children: A 10-Year Experience in a Teaching Hospital in Enugu, Nigeria. Int J Anesth Clin Med. 2019;7(2):50-54. doi: 10.11648/j.ijacm.20190702.15

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  • @article{10.11648/j.ijacm.20190702.15,
      author = {Chukwubuike Kevin Emeka and Nduagubam Obinna Chukwuebuka and Eze Thaddeus Chikaodili},
      title = {Adhesive Intestinal Obstruction in Children: A 10-Year Experience in a Teaching Hospital in Enugu, Nigeria},
      journal = {International Journal of Anesthesia and Clinical Medicine},
      volume = {7},
      number = {2},
      pages = {50-54},
      doi = {10.11648/j.ijacm.20190702.15},
      url = {https://doi.org/10.11648/j.ijacm.20190702.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20190702.15},
      abstract = {Background: Following an injury, the peritoneum tries to repair itself through biochemical and cellular responses. These responses result in the formation of adhesions that may cause bowel obstruction. Methodology: This was a retrospective review of children who presented, to our pediatric surgery unit, with adhesive intestinal obstruction (AIO) between January 2008 and December 2017. The patients were reviewed for age at diagnosis of AIO, gender, age at initial surgery, time interval from the initial surgery to the development of AIO, type of initial surgery, duration of symptoms before presentation, treatment and outcome. Result: Thirty four children were admitted with AIO. There were 24 males and 10 females with 36 episodes of bowel obstructions. The mean age of the patients at diagnosis of AIO was 81.5 months (range: 12 - 168) whereas the mean age of the patients at initial surgery was 59.7 months (range: 1 - 144). The mean interval between the initial surgery and onset of AIO was 23.2 months (range: 11-48). Majority of the patients (44.1%) developed AIO within 12 months after their initial surgery. Laparotomy for typhoid intestinal perforation was the most common initial procedure that led to AIO. Non-operative treatment was successful in twenty three patients (67.6%) while ten patients (29.5%) had surgery. One patient (2.9%) was discharged against medical advice. There was no mortality. Conclusion: AIO is uncommon in children. In this series, laparotomy for typhoid intestinal obstruction was the most common operation leading to AIO. Non-operative treatment was effective in two-third of our patients.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Adhesive Intestinal Obstruction in Children: A 10-Year Experience in a Teaching Hospital in Enugu, Nigeria
    AU  - Chukwubuike Kevin Emeka
    AU  - Nduagubam Obinna Chukwuebuka
    AU  - Eze Thaddeus Chikaodili
    Y1  - 2019/12/02
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ijacm.20190702.15
    DO  - 10.11648/j.ijacm.20190702.15
    T2  - International Journal of Anesthesia and Clinical Medicine
    JF  - International Journal of Anesthesia and Clinical Medicine
    JO  - International Journal of Anesthesia and Clinical Medicine
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    EP  - 54
    PB  - Science Publishing Group
    SN  - 2997-2698
    UR  - https://doi.org/10.11648/j.ijacm.20190702.15
    AB  - Background: Following an injury, the peritoneum tries to repair itself through biochemical and cellular responses. These responses result in the formation of adhesions that may cause bowel obstruction. Methodology: This was a retrospective review of children who presented, to our pediatric surgery unit, with adhesive intestinal obstruction (AIO) between January 2008 and December 2017. The patients were reviewed for age at diagnosis of AIO, gender, age at initial surgery, time interval from the initial surgery to the development of AIO, type of initial surgery, duration of symptoms before presentation, treatment and outcome. Result: Thirty four children were admitted with AIO. There were 24 males and 10 females with 36 episodes of bowel obstructions. The mean age of the patients at diagnosis of AIO was 81.5 months (range: 12 - 168) whereas the mean age of the patients at initial surgery was 59.7 months (range: 1 - 144). The mean interval between the initial surgery and onset of AIO was 23.2 months (range: 11-48). Majority of the patients (44.1%) developed AIO within 12 months after their initial surgery. Laparotomy for typhoid intestinal perforation was the most common initial procedure that led to AIO. Non-operative treatment was successful in twenty three patients (67.6%) while ten patients (29.5%) had surgery. One patient (2.9%) was discharged against medical advice. There was no mortality. Conclusion: AIO is uncommon in children. In this series, laparotomy for typhoid intestinal obstruction was the most common operation leading to AIO. Non-operative treatment was effective in two-third of our patients.
    VL  - 7
    IS  - 2
    ER  - 

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

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

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

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