Muhammad Zafar Iqbal, Naveed Akhtar Ch, Mohammad Tahir, Zahoor Ahmad Shahzad, Maria Arshad, Shumailairam.
Neonatal Intestinal Obstruction an Analysis of Hospital Data at Pediatric Surgery Department Sheikh Zayed Hospital, Rahim Yar Khan.
Pak J Med Health Sci Jan ;8(1):16-20.

Aim: To identify the incidence, etiology and outcome of intestinal obstruction in neonates at Pediatric Surgery Department Sheikh Zayed Hospital Rahim Yar Khan. Setting: Department of Pediatric Surgery Sheikh Zayed Medical College, Rahim Yar Khan Duration with dates: One year (12months) from July -2012 to June-2013 Sample size: Total 140 cases of neonatal intestinal obstruction were included in the study. Study Design: Analytical type Methods: All neonates presenting in emergency or outpatient department due to intestinal obstruction were included in the study. Here neonates were defined as an infant’s from birth to 30 days of life. A comprehensive performa including age, sex, clinical presentation, final diagnosis, treatment mode and outcome was prepared and compiled by the ward registrar. Results: Out of 140 neonates, 98 (70%) were male and 42 (30%) were female. Maximum number of patients presented in first week of life, 86 (61.42%). Fourteen patients (10%) and 8 patients (5.71%) presented in second and third week of life respectively. Only 32 patients (22.86%) presented in 4th week of life. Absolute constipation and distension abdomen were the commonest symptoms of presentation. Other symptoms were vomiting, frothing from mouth, bleeding per rectum and loss of thrive. Most common cause of admission was imperforate anus 29(20.71%). Other causes were Hirschsprung’s disease 16(11.43%), Meconeum ileus 12(8.57%), Small bowel atresia 11(7.86%), Malrotation gut 10(7.14%), Necrotizing enterocollitis 10(7.14%), Duodenal atresia 8(5.71%), Tracheoesophageal fistula 8(5.71%), Obstructed inguinal hernia 8(5.71%), Adhesion obstruction 6(4.28%), Meconeum plug syndrome 6(4.28%), Gastroschiasis/omphalocele 5(3.57%), Band obstruction 4(2.86%), Cecal volvulus 2(1.37%), Cloacal exstrophy 2(1.37%), Rectal atresia 1(0.685%), Conclusion: The antenatal history, initial presentation, physical examination, and plain radiographs frequently can establish the diagnosis. Management of intestinal obstruction will almost always be surgical, apart from some notable exceptions.

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