SMALL GUT ATRESIA IN NEONATES
AbstractBackground: Small gut atresia is a common neonatal surgical problem. Early diagnosis and timelymanagement of the neonate can reduce mortality and morbidity in these patients. The aim of thisstudy was to note the causes of mortality and morbidity in these neonates. Methods: This was aprospective study conducted at Lady Reading Hospital (LRH) Peshawar from August 2007 toAugust 2009. All patients with small gut atresia were included in this study. Neonates havingintestinal obstruction due to another cause were excluded from this study. The diagnosis of small gutatresia was usually established peroperatively as other causes of intestinal obstruction like meconiumileus or meconium plug syndrome etc. in neonatal period mimic small gut atresia. Results: A totalof 40 neonates with small gut Atresia were included in this study. Among them 28 were males and12 were females. Age of presentation ranged from 1 to 8 days. Weight of the neonates ranged from1.8–2.8 Kg with the mean weight of 2.43 Kg. Peroperatively type-III(a) Atresia was the commonesttype 20 (50%). Resection and end to end anastomosis was done in 31 cases. Nine neonates neededileostomy. Financial constraints, late presentation, aspiration, sepsis, gut perforation and gangrenewere the main contributors to death of these neonates. Conclusion: Neonates having small gutatresia should be treated at a centre equipped for dealing neonates during all stages of management.Keywords: Small gut atresia, Management, Neonate
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