Original Research Article
Year: 2017 | Month: April | Volume: 7 | Issue: 4 | Pages: 49-53
Etiological Spectrum of Acute Intestinal Obstruction in Neonates and Children in North Karnataka
Venkatesh M. Annigeri*2, Santosh Dasar**1, Anil B. Halgeri*2, Vijay Kulkarni***2
1Assistant Professor, 2Professor,
Depts. of *Paediatric Surgery, **Radiology, ***Paediatric,
SDM College of Medical Sciences and Hospital, Sattur, Dharwad, Karnataka, India
Corresponding Author: Venkatesh M. Annigeri
We analyzed the neonates and children presenting with acute intestinal obstruction to our department and did an outcome analysis to identify the factors affecting the morbidity and mortality. Over a period of 7 years, 300 cases of acute intestinal obstructions accounted for 30% of the abdominal emergencies in our setup. Intussusceptions were the commonest followed by intestinal atresia. Transfer to the tertiary care center was delayed by more than 3 days after the diagnosis in 60% of the hospital and 80% of the home delivered neonates. The overall mortality rate was 5% (15 out of 300); however, it was significantly higher in neonates (10%, 9 out of 90). Inadequate perinatal care, prematurity, associated congenital anomalies and delayed referrals were the significant contributing factors for mortality. First contact community physician and their continuing medical education especially regarding the neonatal intestinal obstruction will have a significant role to play.
Key words: Intussusception, Intestinal atresia, Intestinal obstruction, Malrotation.