Journal of Surgery

| Peer-Reviewed |

Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria

Received: 31 July 2019    Accepted: 18 August 2019    Published: 02 September 2019
Views:       Downloads:

Share This Article

Abstract

Background: Neonatal intestinal obstruction is one of the most common surgical emergencies in a newborn requiring the services of a pediatric surgeon. This study reports the etiology, sex incidence, age of presentation, management and outcome of neonatal intestinal obstruction in pediatric surgical unit of a tertiary hospital in Enugu, Nigeria. Methodology: This was a retrospective study of neonates who presented, at Enugu State University Teaching Hospital, with intestinal obstruction over a 5-year period. Result: Thirty five neonates were recruited into the study. There were 24 (68.6%) males and 11 (31.4%) females. Five patients (14.3%) were delivered before term (preterm) while thirty patients (85.7%) were delivered at term. Most of the patients (54.3%) presented after 72 hours from onset of symptoms. Abdominal distension was the most common symptomatology recorded in our patients. Necrotizing enterocolitis was the most common etiology in our patients accounting for 17 neonates (48.6%). This was followed by anorectal malformation 5 (14.3%), obstructed hernia 4 (11.4%), intestinal atresia 4 (11.4%), Hirschsprung’s disease 3 (8.6%), meconium plug 2 (5.7%). Colostomy formation was the most common surgical procedure performed. Twenty percent of our patients developed post-operative complication and mortality was 22.9%. Conclusion: Necrotizing enterocolitis is the most common cause of neonatal intestinal obstruction in the current study. With the mortality of 22.9%, the outcome in our patients is still poor and requires some improvements.

DOI 10.11648/j.js.20190705.15
Published in Journal of Surgery (Volume 7, Issue 5, October 2019)
Page(s) 138-142
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Intestinal Obstruction, Neonates, Necrotizing Enterocolitis

References
[1] Adejuyigbe O, Jeje EA, Owa J, Adeoba EA. Neonatal intestinal obstruction in Ife, Nigeria. Niger Med J. 1992; 22: 24-28.
[2] Osifo OD, Okolo JC. Neonatal Intestinal Obstruction in Benin, Nigeria. 2009; 6 (2): 98-101.
[3] Nasir GA, Ralma S, Kadim AH. Neonatal intestinal obstruction. Eastern Mediterranean Health Journal. 2000; 6 (1): 187-193.
[4] Juang D, Snyder CL. Neonatal Intestinal Obstruction. Surg Clin North Am. 2012; 92 (3): 685-711.
[5] Mustefa Mohammed, Tadesse Amezene, Moges Tamirat. Intestinal Obstruction in Early Neonatal Period: A 3-Year Review of Admitted Cases from a Tertiary Hospital in Ethiopia. Ethiopia J Health. 2017; 27 (4): 393-400.
[6] Ashrarur Rahman Mitul. Congenital Neonatal Intestinal Obstruction. J Neonatal Surg. 2016; 5 (4): 41.
[7] Manuel Gil Vargas, Mariana L Miguel-Sardaneta, Michelle Rosas-Tellez, Dayana Pereira Reyes. Neonatal Intestinal Obstruction Syndrome. Pediatric Annals. 2018; 47 (5): e220-e225. doi: org/10.3928/19382359-20180425-02.
[8] Kimura K. Bilious vomiting in the new born. Rapid diagnosis of intestinal obstruction. Am FAM physician. 2000; 61 (9): 2791-8.
[9] Ademuyiwa AO, Sowande OA, Ijaduola TK, Adejuyigbe O. Determinants of Mortality in neonatal intestinal obstruction in Ile Ife, Nigeria. Afr J Paediatr Surg. 2009; 6 (1): 11-13. doi: 10.4103/0189-6725.48568.
[10] Anjali Verma, Kamal Nain Rattan, Ravi Yadav. Neonatal Intestinal Obstruction: A 15 Year Experience in a Tertiary Care Hospital. J Clin Diagn Res. 2016; 10 (2): SC10-SC13.
[11] Ameh EA, Chirdan LB. Neonatal Intestinal Ostruction in Zaria. East Afr Med J. 2000; 77 (9): 510-3.
[12] Vijay Singh, Manish Pathak. Congenital Neonatal Intestinal Obstruction: Retrospective Analysis at Tertiary Care Hospital. J Neonatal Surg. 2016; 5 (4): 49.
[13] Talari VK, Sipala SK. A Clinical Study of Neonatal Intestinal Obstruction. IOSR Journal of Dental and Medical Sciences. 2017; 16 (8): 8-14. doi: 10.9790/0853-1608030814.
[14] Samuel Chidi Ekpemo, Nneka Okoronkwo. Neonatal Intestinal Obtruction in Aba, Nigeria. European Journal of Clinical and Biochemical Sciences. 2018; 4 (6): 69-72. doi: 10.11648/j.ejcbs.20180406.11.
[15] Thompson AM, Bizzarro MJ. Necrotizing enterocolitis in newborns: pathogenesis, prevention and management. Drugs. 2008; 1227-38.
[16] Klein MD, Coran AG, Wesley JR, Drongowski RA. Hirschsprung’s disease in the newborn. J Pediatr Surg. 1984; 19 (4): 370-4. doi: 10. 1016/s0022-3468(84)80255-9.
[17] Lister J. Development of neonatal surgery 1955-1980. J R Coll Surg Edinb. 1980; 25 (5): 324-32.
[18] Chirdan LB, Uba F, Pam SD. Intestinal atresia: Management problems in a developing country. Pediatr Surg Int. 2004; 20 (11-12): 834-7.
[19] Momoh JT. Pattern of neonatal intestinal obstruction in Zaria-northern Nigeria. East Afr Med J. 1982; 59: 819-23.
[20] Sowande OA, Ogundoyin OO, Adejuyigbe O. Pattern and factors affecting management outcome of neonatal emergency surgery in Ile Ife, Nigeria. Surgical Practice. 2007; 11 (2): 71-75. doi.org/10.1111/j.1744-1633.2007.00341.x.
[21] Bustos LG, Orbea GC, Dominguez GO, Gallindo IA, Cano NI. Congenital anatomic gastrointestinal obstruction: prenatal diagnosis, morbidity and mortality. An Pediatr (Barc). 2006; 62 (2): 134-9.
Author Information
  • Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria

  • Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria

  • Department of Pediatrics, Enugu State University Teaching Hospital, Enugu, Nigeria

  • Department of Pediatrics, Enugu State University Teaching Hospital, Enugu, Nigeria

  • Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria

Cite This Article
  • APA Style

    Chukwubuike Kevin Emeka, Odetunde Oluwatoyin Arinola, Ekwochi Uchenna, Iheji Chukwunonso Chigozie, Eze Thaddeus Chikaodili. (2019). Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria. Journal of Surgery, 7(5), 138-142. https://doi.org/10.11648/j.js.20190705.15

    Copy | Download

    ACS Style

    Chukwubuike Kevin Emeka; Odetunde Oluwatoyin Arinola; Ekwochi Uchenna; Iheji Chukwunonso Chigozie; Eze Thaddeus Chikaodili. Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria. J. Surg. 2019, 7(5), 138-142. doi: 10.11648/j.js.20190705.15

    Copy | Download

    AMA Style

    Chukwubuike Kevin Emeka, Odetunde Oluwatoyin Arinola, Ekwochi Uchenna, Iheji Chukwunonso Chigozie, Eze Thaddeus Chikaodili. Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria. J Surg. 2019;7(5):138-142. doi: 10.11648/j.js.20190705.15

    Copy | Download

  • @article{10.11648/j.js.20190705.15,
      author = {Chukwubuike Kevin Emeka and Odetunde Oluwatoyin Arinola and Ekwochi Uchenna and Iheji Chukwunonso Chigozie and Eze Thaddeus Chikaodili},
      title = {Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria},
      journal = {Journal of Surgery},
      volume = {7},
      number = {5},
      pages = {138-142},
      doi = {10.11648/j.js.20190705.15},
      url = {https://doi.org/10.11648/j.js.20190705.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20190705.15},
      abstract = {Background: Neonatal intestinal obstruction is one of the most common surgical emergencies in a newborn requiring the services of a pediatric surgeon. This study reports the etiology, sex incidence, age of presentation, management and outcome of neonatal intestinal obstruction in pediatric surgical unit of a tertiary hospital in Enugu, Nigeria. Methodology: This was a retrospective study of neonates who presented, at Enugu State University Teaching Hospital, with intestinal obstruction over a 5-year period. Result: Thirty five neonates were recruited into the study. There were 24 (68.6%) males and 11 (31.4%) females. Five patients (14.3%) were delivered before term (preterm) while thirty patients (85.7%) were delivered at term. Most of the patients (54.3%) presented after 72 hours from onset of symptoms. Abdominal distension was the most common symptomatology recorded in our patients. Necrotizing enterocolitis was the most common etiology in our patients accounting for 17 neonates (48.6%). This was followed by anorectal malformation 5 (14.3%), obstructed hernia 4 (11.4%), intestinal atresia 4 (11.4%), Hirschsprung’s disease 3 (8.6%), meconium plug 2 (5.7%). Colostomy formation was the most common surgical procedure performed. Twenty percent of our patients developed post-operative complication and mortality was 22.9%. Conclusion: Necrotizing enterocolitis is the most common cause of neonatal intestinal obstruction in the current study. With the mortality of 22.9%, the outcome in our patients is still poor and requires some improvements.},
     year = {2019}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Neonatal Intestinal Obstruction: A 5 Year Experience in a Tertiary Hospital in Enugu, Nigeria
    AU  - Chukwubuike Kevin Emeka
    AU  - Odetunde Oluwatoyin Arinola
    AU  - Ekwochi Uchenna
    AU  - Iheji Chukwunonso Chigozie
    AU  - Eze Thaddeus Chikaodili
    Y1  - 2019/09/02
    PY  - 2019
    N1  - https://doi.org/10.11648/j.js.20190705.15
    DO  - 10.11648/j.js.20190705.15
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 138
    EP  - 142
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20190705.15
    AB  - Background: Neonatal intestinal obstruction is one of the most common surgical emergencies in a newborn requiring the services of a pediatric surgeon. This study reports the etiology, sex incidence, age of presentation, management and outcome of neonatal intestinal obstruction in pediatric surgical unit of a tertiary hospital in Enugu, Nigeria. Methodology: This was a retrospective study of neonates who presented, at Enugu State University Teaching Hospital, with intestinal obstruction over a 5-year period. Result: Thirty five neonates were recruited into the study. There were 24 (68.6%) males and 11 (31.4%) females. Five patients (14.3%) were delivered before term (preterm) while thirty patients (85.7%) were delivered at term. Most of the patients (54.3%) presented after 72 hours from onset of symptoms. Abdominal distension was the most common symptomatology recorded in our patients. Necrotizing enterocolitis was the most common etiology in our patients accounting for 17 neonates (48.6%). This was followed by anorectal malformation 5 (14.3%), obstructed hernia 4 (11.4%), intestinal atresia 4 (11.4%), Hirschsprung’s disease 3 (8.6%), meconium plug 2 (5.7%). Colostomy formation was the most common surgical procedure performed. Twenty percent of our patients developed post-operative complication and mortality was 22.9%. Conclusion: Necrotizing enterocolitis is the most common cause of neonatal intestinal obstruction in the current study. With the mortality of 22.9%, the outcome in our patients is still poor and requires some improvements.
    VL  - 7
    IS  - 5
    ER  - 

    Copy | Download

  • Sections