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.
| Published in | Journal of Surgery (Volume 7, Issue 5) |
| DOI | 10.11648/j.js.20190705.15 |
| Page(s) | 138-142 |
| 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 |
Intestinal Obstruction, Neonates, Necrotizing Enterocolitis
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APA Style
Chukwubuike Kevin Emeka, Odetunde Oluwatoyin Arinola, Ekwochi Uchenna, Iheji Chukwunonso Chigozie, Eze Thaddeus Chikaodili. (2019). Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria. Journal of Surgery, 7(5), 138-142. https://doi.org/10.11648/j.js.20190705.15
ACS Style
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. J. Surg. 2019, 7(5), 138-142. doi: 10.11648/j.js.20190705.15
AMA Style
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. J Surg. 2019;7(5):138-142. doi: 10.11648/j.js.20190705.15
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Download@article{10.11648/j.js.20190705.15,
author = {Chukwubuike Kevin Emeka and Odetunde Oluwatoyin Arinola and Ekwochi Uchenna and Iheji Chukwunonso Chigozie and Eze Thaddeus Chikaodili},
title = {Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria},
journal = {Journal of Surgery},
volume = {7},
number = {5},
pages = {138-142},
doi = {10.11648/j.js.20190705.15},
url = {https://doi.org/10.11648/j.js.20190705.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190705.15},
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.},
year = {2019}
}
TY - JOUR T1 - Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria AU - Chukwubuike Kevin Emeka AU - Odetunde Oluwatoyin Arinola AU - Ekwochi Uchenna AU - Iheji Chukwunonso Chigozie AU - Eze Thaddeus Chikaodili Y1 - 2019/09/02 PY - 2019 N1 - https://doi.org/10.11648/j.js.20190705.15 DO - 10.11648/j.js.20190705.15 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 138 EP - 142 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20190705.15 AB - 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. VL - 7 IS - 5 ER -
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