Document Detail


Congenital intrinsic intestinal obstruction in a Caribbean country.
MedLine Citation:
PMID:  20187513     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Trevor I Anatol; Seetharaman Hariharan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  94     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    2009 Jul-Sep
Date Detail:
Created Date:  2010-03-01     Completed Date:  2010-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  212-6     Citation Subset:  IM    
Affiliation:
Department of Clinical Surgical Sciences, Faculty of Medical Sciences, St. Augustine Campus, University of the West Indies, Trinidad and Tobago. trevana@wow.net
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MeSH Terms
Descriptor/Qualifier:
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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