| The morbidity and mortality of right hemicolectomy for complicated intussusception in infants. | |
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MedLine Citation:
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PMID: 12501272 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Infants with intussusception in tropical Africa frequently present late. Intestinal resection for gangrene or perforation may warrant a right hemicolectomy. Over a period of 11 year, 15 (45.5%) of 33 infants with intussusception required bowel resection, 10 of which were right hemicolectomies. The age range of those who had right hemicolectomy was 3-9 months (median 6 months) and duration of symptoms 3-8 days (median 6 days). In addition to features of intussusception, seven (78%) infants were dehydrated and one was anaemic. Six (67%) of 9 infants developed procedure related complications postoperatively. Four (44%) had anastomotic dehiscence, associated with abdominal wound dehiscence in 2. In 3 of the patients, the anastomosis leaked again following repeat resection and anastomosis, necessitating relaparotomy and stoma formation. One (11%) patient each had wound infection and prolonged ileus respectively. Six (67%) patients died, including the 4 who had anastomotic dehiscence. The cause of death was overwhelming infection in 4 patients and aspiration of vomitus in two patients. Recommendations are made to minimize morbidity and mortality in these infants. |
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Authors:
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E A Ameh |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Nigerian postgraduate medical journal Volume: 9 ISSN: 1117-1936 ISO Abbreviation: Niger Postgrad Med J Publication Date: 2002 Sep |
Date Detail:
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Created Date: 2002-12-26 Completed Date: 2003-03-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9613595 Medline TA: Niger Postgrad Med J Country: Nigeria |
Other Details:
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Languages: eng Pagination: 123-4 Citation Subset: IM |
Affiliation:
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Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Colectomy
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methods,
mortality* Humans Ileal Diseases / mortality, surgery* Infant Intussusception / mortality, surgery* Male Morbidity Nigeria / epidemiology Postoperative Complications / mortality* Retrospective Studies |
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