A Clinical Review of Neonatal Intestinal Obstruction.
- Author:
Hoe Bong LEE
1
;
Sang Yong CHOI
;
Shin Hee PARK
;
Chin Seung KIM
Author Information
1. Department of General Surgery, Sung-Ae General Hospital.
- Publication Type:Original Article
- Keywords:
Neonatal intestinal obstruction
- MeSH:
Early Diagnosis;
Female;
Hospitals, General;
Humans;
Intestinal Obstruction*;
Intestinal Pseudo-Obstruction;
Male;
Parturition;
Postoperative Complications;
Vomiting
- From:Journal of the Korean Surgical Society
1999;56(3):427-433
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUNDS: Intestinal obstruction is one of the main causes of neonatal operations. It is caused by congenital factors, inherited diseases, and acquired diseases. A study was made to understand the status of neonatal intestinal obstruction cases at our hospital. METHODS: This was a clinical analysis of 53 cases of neonatal intestinal obstruction which had been experienced from March 1992 to February 1998 at the Department of General surgery, Sung-Ae General Hospital. RESULTS: 1) Operations for neonatal intestinal obstructions accounted for 42.4% of all neonatal operations. 2) There were 38 males and 15 females; the male-to-female ratio was 2.5:1. 3) Gestational period of 9 cases (16.9%) was less than 36 weeks and the weight in 10 cases (18.8%) wre below 2,500 gm at birth. 4) The main clinical symptoms on admission were vomiting or abdominal distension. 5) There were 49 cases (92.4%) of mechanical obstruction and 4 cases of a paralytic ileus. 6) Associated anomalies were present in 9 cases (16.9%). 7) The postoperative complication and motality rates were 30.1% and 7.5% respectively. CONCLUSIONS: Our clinical data might provide clinical suspicisions leading to early diagnosis and treatment.
