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Original Article

NMJ. 2018; 7(1): 5-24


Incidence, Nature and Outcome ofEmergencyNeonatal Intestinal Obstruction, Egypt.

Adel Elbaih, Khaled Morsy, Gouda Ellabban, Mostafa Elboghdadei.

Abstract
Introduction: "Intestinal obstruction" is one the most common surgical emergency in the neonatal period. Early and accurate diagnosis of intestinal obstruction is paramount for proper patient management. Most of the cases require surgical intervention. Preoperative management is very important to get the best results.
Aim: To study the most common cause of neonatal intestinal obstruction and to suggest a protocol for the proper management of these neonates to get the best results.
Methods:
The study was descriptive study of 80 neonates who attended Emergency department with intestinal obstruction accordingly to inclusion criteria and were admitted to the neonatal intensive surgical care unit (NISCU)
Results: neonates with intestinal obstruction were predominantly male, most of the neonates with duodenal atresia, necrotizing enterocolitis, jejunoileal atresia had low birth weight and the causes of neonatal intestinal obstruction were hirschsprung's disease, hypertrophic pyloric stenosis, imperforate anus, jejunoileal atresia, duodenal atresia, , necrotizing enterocolitis, volvulus neonatorum and meconium ileus.
Conclusion: 77.5% patients were operated while 22.5% of patients were managed conservatively, 78.75% ofpatients improved, while 21.25% patients died. The common causes of death were severe associated congenital anomalies, delayed presentation and surgical complications .success rate was 89.9% in patients subjected to conservative managements while it was unsuccessful in 10.1%, ; surgical treatment had success rate of 76.2%.

Key words: Causes, Management, Neonatal intestinal obstruction, outcome.


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