Gastrointestinal problems

Hirschsprung's Disease ◽

Oesophageal Atresia ◽

Intestinal Atresia ◽

Meconium Ileus ◽

Differential Diagnoses ◽

Anorectal Anomalies ◽

Gastrointestinal Problems ◽

Bloody Stools

This chapter describes the presentation, investigation, and management of congenital and acquired gastrointestinal problems. It begins with a symptom-based approach giving differential diagnoses for vomiting, haematemesis, bloody stools, and diarrhoea. All common congenital problems are covered including oesophageal atresia, tracheo-oesophageal fistula, intestinal atresia, exomphalos, gastroschisis, malrotation, volvulus, meconium ileus, Hirschsprung’s disease, and anorectal anomalies. There are several pages devoted to necrotizing enterocolitis. Throughout there is a description of the surgical management of relevant conditions.

Paediatric surgery

10.1093/med/9780198510567.003.0014 ◽

2011 ◽

Author(s):

P. Raine ◽

G. Walker

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Vascular Access ◽

Oesophageal Atresia ◽

Intestinal Atresia ◽

Necrotising Enterocolitis ◽

Meconium Ileus ◽

Sacrococcygeal Teratoma ◽

Paediatric Surgery ◽

Fluid And Electrolyte Management

Surgery on the newborn 568Anatomy of the child 570Fluid and electrolyte management 572Vascular access 574Oesophageal atresia 576Intestinal atresia 578Gastroschisis 582Exomphalos (omphalocele) 584Meconium ileus 586Hirschsprung's disease 588Necrotising enterocolitis 590Sacrococcygeal teratoma 592Congenital diaphragmatic hernia (CDH) ...

The outcome of Bishop-Koop procedure compared to divided stoma in neonates with meconium ileus, congenital intestinal atresia and necrotizing enterocolitis

Medicine ◽

10.1097/md.0000000000016304 ◽

2019 ◽

Vol 98 (27) ◽

pp. e16304 ◽

Cited By ~ 1

Author(s):

Illya Martynov ◽

Jochen Raedecke ◽

Jessica Klima-Frysch ◽

Wolfram Kluwe ◽

Joachim Schoenberger

Keyword(s):

Intestinal Atresia ◽

Meconium Ileus

Pattern and outcome of neonatal gastrointestinal surgical emergencies: A prospective analysis.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.03.5795 ◽

2021 ◽

Vol 28 (03) ◽

pp. 415-421

Author(s):

Shafiq ur Rehman ◽

Yasir Makki ◽

Zarlish Fazal ◽

Tahir Shahzad Nawaz Babar ◽

Fareena Ishtiaq ◽

...

Keyword(s):

Mortality Rate ◽

Esophageal Atresia ◽

Anorectal Malformation ◽

Intestinal Atresia ◽

Meconium Ileus ◽

Female Ratio ◽

Surgical Emergency ◽

Surgical Emergencies ◽

Study Results

Objectives: This study is aimed at determing the pattern and treatment outcome of neonatal gastrointestinal surgical emergencies. Study Design: Prospective Descriptive study. Setting: DHQ Teaching Hospital Sahiwal. Period: January 2018 to December 2019. Material & Methods: All neonates (<28 days old) who underwent surgery for acute gastrointestinal emergency during the study period were included. Newborns more than 28 days and diseases such as esophageal atresia, esophageal atresia with trachea-esophageal fistula, diaphragmatic hernia, omphalocele, gastroschisis and infantile hypertophic pyloric stenosis were not included in the study. Results: A total of 104 cases of neonatal gastrointestinal surgical emergency were included in the study. The most common cause was anorectal malformation 37(35.57%), followed by intestinal atresia 26(25.0%), Hirschsprung disease 13(12.50%), necrotizing enterocolitis 9(8.65%), intestinal malrotation 8(7.69%), meconium ileus 7(6.73%) and others 4(3.84%). Males were 59(56.73%), females 45(43.26%) and male to female ratio 1.3:1. Mean weight was 2.62kg, ranging from 1.5 to 4.4kg. Post-operative complications were septicemia 26(25.0%), wound infection 17(16.34%), respiratory problems 19(18.26%). Mortality rate in necrotizing enterocolitis was 55.55%, meconium ileus 42.85% and intestinal atresia 38.46%. Mortality rate in premature neonates was 48.0% and mature 12.65%. Overall mortality rate was 21.15%. Conclusions: Anorectal malformation is the commonest cause of neonatal gastrointestinal surgical emergency. Necrotizing enterocolitis, intestinal atresia and meconium ileus are the neonatal surgical diseases with high mortality rate. Surgical outcome depends on the complexity of the disease. Sepsis, late presentation, prematurity and low birth weight are significant contributory factors for high morbidity and mortality.

Paediatric surgery

Oxford Handbook for Medical School ◽

10.1093/med/9780199681907.003.0038 ◽

2019 ◽

pp. 725-732

Keyword(s):

Abdominal Pain ◽

Medical School ◽

Surgical Management ◽

Pyloric Stenosis ◽

Hirschsprung's Disease ◽

Paediatric Surgery ◽

Wide Range ◽

Gastrointestinal Illnesses

This chapter on paediatric surgery covers procedures performed from fetus to 16 years of age. The wide range is succinctly covered with appropriate detail for both those looking to apply for medicine, and those in medical school. The chapter reviews oncological conditions, most importantly, leukaemia. It also studies common conditions such as abdominal pain, hernia, undescended testicles, and appendicitis. Surgical management of gastrointestinal illnesses such as pyloric stenosis, intussusception, and Hirschsprung’s disease is covered along with urological conditions such as hypospadias. It also discusses important neonatal presentations of necrotizing enterocolitis and gastrointestinal atresia, to name a few.

Paediatric surgery

10.1093/med/9780198799481.003.0013 ◽

2021 ◽

pp. 521-552

Keyword(s):

Abdominal Wall ◽

Hirschsprung's Disease ◽

Undescended Testis ◽

Oesophageal Atresia ◽

Solid Tumours ◽

Abdominal Wall Defects ◽

Paediatric Surgery

This chapter outlines the principles of managing paediatric surgical cases. It provides an overview of the assessment of a child with abdominal wall defects, inguinal or scrotal swellings and neck swellings. Conditions such as oesophageal atresia, phyloric stenosis, malrotation and volvulus, intussusception, hirschsprung’s disease, necrotizing enterocolitis, childhood hernias, undescended testis and solid tumours of childhood.

Oesophageal atresia with tracheo-oesophageal fistula, ileal atresia and Hirschsprung’s disease: outcome of a rare phenotype

BMJ Case Reports ◽

10.1136/bcr-2018-226675 ◽

2019 ◽

Vol 12 (2) ◽

pp. e226675 ◽

Cited By ~ 1

Author(s):

Liliana Pimenta Santos ◽

Diana Coimbra ◽

Catarina Cunha ◽

Maria Francelina Lopes

Keyword(s):

Hirschsprung's Disease ◽

Neonatal Period ◽

Ganglion Cells ◽

Oesophageal Atresia ◽

Intestinal Atresia ◽

Successful Outcome ◽

Ileal Atresia ◽

Prolonged Hospitalisation ◽

Rare Phenotype

Oesophageal atresia with or without tracheo-oesophageal fistula, ileal atresia and Hirschsprung’s disease are surgical malformations of the gastrointestinal tract typically diagnosed early in the neonatal period and varying in severity and prognosis. This report describes a full-term male newborn presenting simultaneous oesophageal atresia with distal tracheo-oesophageal fistula, ileal atresia and Hirschsprung’s disease. In addition to the complex types of gastrointestinal malformations involved, the combination of ileal atresia and Hirschsprung’s disease, as well as ganglion cells distal to intestinal atresia, resulted in a challenging diagnosis. Despite a successful outcome, the patient presented increased morbidity and prolonged hospitalisation. We highlight some important findings that may aid the early diagnosis of Hirschsprung’s disease in this clinical setting. To our knowledge, the association of oesophageal atresia/tracheo-oesophageal fistula, ileal atresia and Hirschsprung’s disease has not been previously reported.

Patterns and Outcome of Neonatal Intestinal Obstruction in Kanti Children’s Hospital

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v40i2.29254 ◽

2020 ◽

Vol 40 (2) ◽

pp. 120-124

Author(s):

Bijay Thapa ◽

Anupama Basnet

Keyword(s):

Survival Rate ◽

Intestinal Obstruction ◽

Anorectal Malformation ◽

Hirschsprung's Disease ◽

Intestinal Atresia ◽

Meconium Ileus ◽

Children's Hospital ◽

Surgical Emergency ◽

Neonatal Intestinal Obstruction

Introduction: Neonatal intestinal obstruction is the most common neonatal surgical emergency. More than 75% of neonatal surgeries are done for the correction of this problem. The outcome of this obstruction mainly depends upon the causes of obstruction, clinical condition of the patient, associated anomalies, expertise and centre where the patient is dealt. This study was undertaken to study the clinical features and outcome of neonatal intestinal obstruction presented in our centre. Methods: The medical records of all neonates admitted in the surgical NICU were selected and cases with the diagnosis of neonatal intestinal obstruction and managed surgically during two years period from September 1, 2015 to September 1, 2017 were retrospectively reviewed and analysed in regard to age at presentation, sex, weight, gestation, postoperative diagnosis and their outcome. Results: Out of 235 admitted neonates, 205 cases were treated surgically for intestinal obstruction. There were a total of 154 (75.2%) males and 51 (24.8%) females. Mean age at presentation was 4.5 days and average weight was 2.25 kg. Among them, anorectal malformation (ARM) 88 (42.92%), intestinal atresia 59 (28.78%), Hirschsprung’s disease 38 (18.53%), malrotation of gut 10 (4.87%) and meconium ileus 10 (4.87%) were the etiology. Among intestinal atresia, duodenal atresia 27 (45.76%) was the commonest one followed by ileal atresia 24 (40.67%), six jejunal atresia (10.16%) and two colonic atresia (3.38%). Overall, 160 neonates survived (78.04%). Among the survival, Hirschsprung’s disease was 34 (89.47%), ARM 78 (88.63%), seven malrotation of gut (70%), six meconium ileus (60%) and intestinal atresia 35 (59.32%). Conclusion: Neonatal intestinal obstruction is the most common neonatal surgical emergency in Kanti Children’s Hospital. Anorectal malformation was the commonest etiology followed by intestinal atresia and Hirschsprung’s disease. Overall survival rate was 78%. Cases with Hirschsprung’s disease and anorectal malformation had about 90% survival rate. Intestinal atresia was the major cause of mortality occupying 53.35% of total mortality of 21.95%. Mortality is mainly due to delayed diagnosis, referral and intervention which lead to higher complications of cases.

Neonatal intestinal obstruction : patterns, problems and outcome

Bangladesh Medical Journal Khulna ◽

10.3329/bmjk.v45i1-2.13638 ◽

2013 ◽

Vol 45 (1-2) ◽

pp. 6-10 ◽

Cited By ~ 1

Author(s):

Amar Kumar Saha ◽

Md Barkot Ali ◽

Sunil Kumar Biswas ◽

HM Zafor Sharif ◽

Anwerul Azim

Keyword(s):

Surgical Treatment ◽

Intestinal Obstruction ◽

Hirschsprung's Disease ◽

Intestinal Atresia ◽

Postoperative Management ◽

Meconium Ileus ◽

College Hospital ◽

Female Ratio ◽

Neonatal Intestinal Obstruction

Neonatal intestinal obstruction is the most common surgical emergency in newborn. Ideally neonatal surgery should be done in an organized neonatal surgical unit. This study was done mostly in general surgical setup in Khulna without any facility of NICU and TPN. The aim of this study was to detect the patterns of neonatal intestinal obstruction and to find out the problems and outcome of surgical treatment. This retrospective study was done between January 2008 and December 2010, in Khulna Medical College Hospital, Khulna Shishu Hospital and a private clinic in Khulna. A total of 205 neonates with intestinal obstruction were treated surgically. Babies of both sexes up to 28 days of age were included in this study. Common causes of neonatal intestinal obstruction were anorectal malformation (ARM), intestinal atresia, Hirschsprung's disease (HD), meconium ileus and malrotation of midgut. Male-female ratio was 1.6:1 and about 13% was premature. Out of 205 neonates, there were ARM-73, HD-47, meconium ileus-38, intestinal atresia-29, malrotation-13 and others-5. Total 172 (84%) survived. Those were ARM (94%), Hirschsprung's disease (91%), meconium ileus (79%), intestinal atresia (55%), malrotation of gut (85%) and others (40%). Overall mortality after initial surgical treatment was 16%. Prognosis of surgical treatment depends on early intervention, expert anaesthesia, associated anomaly and complication, gentle handling of delicate tissue and intensive postoperative management. Medical practitioners were the first attending physician in most instances. So both physicians and surgeons have a contributing role in reducing mortality. DOI: http://dx.doi.org/10.3329/bmjk.v45i1-2.13638 Bang Med J (Khulna) 2012; 45 : 6-10