24Oct2017
Pattern and outcome of childhood intestinal obstruction
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Pattern and outcome of childhood intestinal obstruction at a Tertiary Hospital in Nigeria
OO Ogundoyin, AO Afolabi, DI Ogunlana, TA Lawal, AC Yifieyeh
Abstract
Background: Intestinal obstruction is a common cause of pediatric surgical emergency with a high morbidity and mortality in Africa.
Methods: A retrospective review of cases managed from January 1996 to December 2005 at a teaching hospital in Southwestern, Nigeria was done to examine the pattern of causes of intestinal obstruction in children and the management outcome.
Results: One hundred and thirty cases were seen over the study period with an age range of 2 hours to 14 years. Majority (61.24%) were infants, while 18.46% were neonates. Fifty-five cases (42.31%) were due to congenital causes while the rest were of acquired causes. The major causes of intestinal obstruction in the study were intussusception (29.23%), anorectal malformations (22.31%), obstructed inguinoscrotal hernia (16.92%) and Hirschsprungs disease (13.85%). Surgical site infection and sepsis were the commonest complications observed with an overall complication rate of 60.78%. The mortality rate was 3.08% and most (75%) occurred in neonates.
Conclusion: While mortality as an outcome of management is low, the morbidity was very high in this study.
Key words: Childhood intestinal obstruction, Pattern, Management outcome.
Running title: Pattern and management of childhood intestinal obstruction
