Meconium-related ileus in very low birth weight and extremely low birth weight infants: immediate and one-year postoperative outcomes.
10.4174/astr.2015.89.3.151
- Author:
Hae Young KIM
1
;
Soo Hong KIM
;
Yong Hoon CHO
;
Shin Yun BYUN
;
Young Mi HAN
;
Ah Young KIM
Author Information
1. Division of Pediatric Surgery, Department of Surgery, Pusan National University School of Medicine, Yangsan, Korea. choyh70@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Meconium;
Ileus;
Very low birth weight infant;
Extremely low birth weight infant;
Growth
- MeSH:
Birth Weight;
Body Weight;
Diagnosis;
Growth and Development;
Humans;
Ileus*;
Infant*;
Infant, Extremely Low Birth Weight;
Infant, Extremely Premature;
Infant, Low Birth Weight*;
Infant, Newborn;
Infant, Premature;
Infant, Very Low Birth Weight*;
Meconium;
Mortality;
Retrospective Studies
- From:Annals of Surgical Treatment and Research
2015;89(3):151-157
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: One of the major causes of bowel obstruction in extremely premature infants is a meconium obstruction. However, there are many challenges not only in the recognition and diagnosis, but also in the management of meconium obstruction. This study aimed to find perioperative clinical features and determine the postoperative course of meconium-related ileus in very low birth weight (VLBW) and extremely low birth weight (ELBW) infants. METHODS: We retrospectively reviewed the clinical data of premature infants (n = 11, VLBW infnats; n = 16, ELBW infants) with a meconium-related ileus who underwent operation for intractable ileus between January 2009 and May 2013. RESULTS: The average duration of conservative management was longer and postnatal age was older in ELBW infants than VLBW infants: 19.9 days vs. 11.5 days and 34.9 days vs. 19.2 days. The immediate postoperative course (day that beginning feeding and full feeding) was not significantly different based on birth weight, but the ELBW infants had slightly higher mortality. At 12 months of corrected age after operation, both average body weight and average height was below 10th percentile for growth in most infants (61.1%). CONCLUSION: There was a slightly high mortality in the ELBW infants, but two groups did not experience significant differences in the immediate postoperative course of meconium-related ileus. Nevertheless, considering their growth patterns, it is necessary to do a close follow-up and more aggressive nutritional management to achieve optimal growth and development in both patient groups.
