| Congenital intrinsic intestinal obstruction in a Caribbean country. | |
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MedLine Citation:
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PMID: 20187513 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study was undertaken to evaluate the clinical characteristics, perioperative features, and outcome of congenital intrinsic intestinal obstruction in a developing Caribbean country for comparison with previous literature reports. This study included retrospective data collection on all infants referred to the hospital with a diagnosis of congenital intrinsic bowel obstruction during the period 1999-2006. Data studied were demographic features, perioperative details, surgical procedures performed, postoperative course, and early outcome. Twenty-two infants were treated, with an incidence of 3.14 per 10,000 live births. Duodenal outnumbered jejuno-ileal lesions by 1.5 to 1. Complications occurred in 68.2% of cases, and the mortality rate was 27.3%. Lower gestational age, a high leukocyte count, and more distal small bowel obstruction were significantly associated with mortality. Improvement in the outcome of surgical treatment of this problem in this population requires more effective perioperative management of prematurity and sepsis. |
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Authors:
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Trevor I Anatol; Seetharaman Hariharan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International surgery Volume: 94 ISSN: 0020-8868 ISO Abbreviation: Int Surg Publication Date: 2009 Jul-Sep |
Date Detail:
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Created Date: 2010-03-01 Completed Date: 2010-03-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0043524 Medline TA: Int Surg Country: Italy |
Other Details:
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Languages: eng Pagination: 212-6 Citation Subset: IM |
Affiliation:
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Department of Clinical Surgical Sciences, Faculty of Medical Sciences, St. Augustine Campus, University of the West Indies, Trinidad and Tobago. trevana@wow.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Developing Countries Gestational Age Humans Incidence Infant Infant, Newborn Intestinal Atresia / mortality, surgery Intestinal Obstruction / congenital*, mortality, surgery* Leukocyte Count Retrospective Studies Risk Factors Statistics, Nonparametric Survival Rate Treatment Outcome Trinidad and Tobago / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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