Volume 7, Issue 6, December 2019, Page: 112-116
Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria
Chukwubuike Kevin Emeka, Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria
Ozor Ignatius Ikemefuna, Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria
Enebe Joseph Tochukwu, Department of Obstetrics and Gynecology, Enugu State University Teaching Hospital, Enugu, Nigeria
Received: Oct. 16, 2019;       Accepted: Nov. 7, 2019;       Published: Nov. 17, 2019
DOI: 10.11648/j.ejpm.20190706.14      View  46      Downloads  12
Abstract
Background: Paediatric intestinal obstruction is a common surgical emergency and is associated with lots of morbidity and mortality especially in developing countries. Paediatric intestinal obstruction differs from adult intestinal obstruction in terms of aetiology, presentation, management and outcome. This study reports the demography, diagnosis, management and outcome of paediatric intestinal obstruction in pediatric surgical unit of a tertiary hospital in Enugu, Nigeria. Methodology: This was a retrospective study of paediatric patients who presented with intestinal obstruction to the paediatric surgical unit of Enugu State University Teaching Hospital (ESUTH) Enugu, South East Nigeria. Children above one month of age but below 15 years, who presented with symptoms and signs of intestinal obstruction, were recruited for the study. Intestinal obstruction in neonates was excluded from this study. The study period was for one year, from January 1st 2018 to December 31st 2018. Result: During the period of the study 45 cases, 30 (66.7%) males and 15 (33.3%) females were managed. The mean age of the patients was 52.2 months. Abdominal pain was the most common presenting symptom and intussusception was the most common cause of intestinal obstruction. Forty two patients (93.3%) did well and were discharged. Two patients (4.4%) died while one patient (2.2%) was discharged against medical advice. Conclusion: Intussusception was the most common cause of intestinal obstruction in the current study. The mortality of 4.4% recorded in this study can be improved upon.
Keywords
Intestinal Obstruction, Paediatrics, Intussusception
To cite this article
Chukwubuike Kevin Emeka, Ozor Ignatius Ikemefuna, Enebe Joseph Tochukwu, Spectrum of Paediatric Intestinal Obstruction in a Tertiary Hospital in Enugu, Nigeria, European Journal of Preventive Medicine. Vol. 7, No. 6, 2019, pp. 112-116. doi: 10.11648/j.ejpm.20190706.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Huci T. Acute GI obstruction. Best Pract Res Clin Gastroenterol. 2013; 27 (5): 691-707. doi: 10. 1016/j.bpg.2013.09.001.
[2]
Bhedi A, Prajapati M, Sarkar A. A prospective study of intestinal obstruction in paediatric age group. Int Surg J. 2017; 4 (6): 1979-1983. doi: 10.18203/2349-2902.isj20172395.
[3]
Ooko PB. The spectrum of paediatric intestinal obstruction in Kenya. The Pan African Medical Journal. 2016; 24: 43. doi: 10.11604/pamj.2016.24.43.6256.
[4]
Adejuyigbe O, Fashakin EO. Acute intestinal obstruction in Nigerian children. Trop Gastroenterol. 1989; 10 (1): 33-40.
[5]
Mansi Shah, Jared Gallaher, Nelson Msiska, Sean E. McLean, Anthony G Charles. Pediatric Intestinal Obstruction in Malawi: Characteristics and Outcome. Am J Surg. 2016; 211 (4): 722-726. doi: 10.1016/j.amjsurg.2015.11.024.
[6]
Harissou Adamou, Ibrahim Amadou Magagi, Oumarou Habou, Ousseini Adakal, Kabirou Ganiou, Magagi Amadou. Acute mechanical intestinal obstruction in children at zinder national hospital, Niger: Aetiologies and prognosis. Afr J Paediatr Surg. 2017; 14 (3): 49-52.
[7]
Ikeda H, Matsuyama S, Suzuki N, Takahashi A, Kuroiwa M, Hatakeyama S. Small boewl obstruction in children: review of 10 year experience. Acta Paediatr Jpn. 1993; 35 (6): 504-7.
[8]
Houben CH, Pang KK, Mou WC, Chan KW, Tam YH, Lee KH. Epidemiology of small-bowel obstruction beyond the neonatal period. Annals of Pediatric Surgery. 2016; 12 (3): 90-93. doi: 10.1097/01.XPS.0000481055.24776.db.
[9]
Oladele AO, Akinkuolie AA, Agbakwuru EA. Pattern of intestinal obstruction in a semiurban Nigerian hospital. Niger J Clin Pract. 2008; 11 (4): 347-50.
[10]
Gangopadhyay AN, Wardhan H. Intestinal obstruction in children in India. Pediatr Surg Int. 1989; 4: 84. doi: 10.1007/BF00181839.
[11]
Mishra PK, Agrawal A, Joshi M, Sanghvi B, Shah H, Parelkar SV. Intestinal obstruction in children due to Azcariasis: A tertiary health centre experience. 2008; 5 (2): 65-70.
[12]
Ahmed H. Al-Salem, Mohammad Oquaish. Adhesive Intestinal Obstruction in Infants and Children: The Place of Conservative Treatment. ISRN Surgery. 2011; Article ID 645104, 4 pages. doi: 10.5402/2011/645104.
[13]
Ntakiyiruta G, Mukarugwiro B. The Pattern of intestinal Obstruction at Kibogola Hospital, a rural Hospital in Rwanda. East and Central African Journal of Surgery. 2009; 14 (2): 103-108.
[14]
Vanderkolk W, Snyder C, Figg D. Cecal-Colic Adult Intussusception as a Cause of Intestinal Obstruction in Central Africa. World J. of Surg. 1996; 20 (3): 341-344. doi: 10.1007/s002689900055.
[15]
Akgun Y. Intestinal obstruction caused by Ascaris Lumbricoides. Dis Colon Rectum. 1996; 39: 1159. doi: 10.1007/BF02081419
[16]
Gyedu A, Yifieyeh A, Nimako B, Amoah M, Abantanga FA. Intestinal obstruction in older children in Komfo Anokye Teaching Hospital. a tertiary referral centre in Kumasi, Ghana. Annals of Pediatric Surgery. 2015; 11 (1): 7-12. doi: 10.1097/01.XPS.0000455090.05043.54.
[17]
Kwang-Ho Yang, Tae-Beom Lee, Si-Hak Lee, Soo-Hong Kim, Yong-Hoon Cho, Hae-Young Kim. Congenital adhesion band causing small bowel obstruction: What’s the difference in various age groups, pediatric and adult patients? BMC Surgery. 2016; 16: 79. doi: 10.1186/s12893-016-0196-4.
[18]
Ogundoyin OO, Afolabi AO, Ogunlana DI, Lawal TA, Yifieyeh AC. Pattern and outcome of childhood intestinal obstruction at a Tertiary hospital in Nigeria. Afr Health Sci. 2009; 9 (3): 170-3.
[19]
Memon MA, Patel JL, Siddharth RK, Mahendra KD. A study on clinico etiological spectrum of intestinal obstruction in paediatric age group. International Journal of Research in Medical Sciences. 2016; 4 (8): doi: 10.18203/2320-6012ijrms20162239.
[20]
Sirajuddin Soomro, Sikandar Ali Mughal. Intestinal Obstruction in Children. Journal of Surgery Pakistan (International). 2013; 18 (1): 20-23.
[21]
Sushil Kumar Pathak, Sanjeev Kumar Sinha. Assessment of Intestinal Obstruction in Children. International Journal of Medical and Health Research. 2017; 3 (4): 160-162.
[22]
Wendy Geng, Michael Fuller, Brooke Osborne, Kerry Thoirs. The value of the erect abdominal radiograph for the diagnosis of mechanical bowel obstruction and paralytic ileus in adults presenting with acute abdominal pain. J Med Radiat Sci. 2018; 65 (4): 259-266. doi: 10.1002/jmrs.299.
[23]
Magdalena Andrzejewska, Marian Grzymislawski. The role of intestinal ultrasound in diagnostics of bowel diseases. Prz Gastroenterol. 2018; 13 (1): 1-5. doi: 10.5114/pg.2018.74554.
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