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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905
EISSN: 1680-6905
Vol. 9, No. 3, 2009, pp. 170-173
Bioline Code: hs09038
Full paper language: English
Document type: Research Article
Document available free of charge

African Health Sciences, Vol. 9, No. 3, 2009, pp. 170-173

 en Pattern and outcome of childhood intestinal obstruction at a Tertiary Hospital in Nigeria
Ogundoyin, OO; Afolabi, AO; Ogunlana, DI; Lawal, TA & Yifieyeh, AC


Background: Intestinal obstruction is a common cause of pediatric surgical emergency with a high morbidity and mortality in Africa.
Methods: A retrospective review of cases managed from January 1996 to December 2005 at a teaching hospital in Southwestern, Nigeria was done to examine the pattern of causes of intestinal obstruction in children and the management outcome.
Results: One hundred and thirty cases were seen over the study period with an age range of 2 hours to 14 years. Majority (61.24%) were infants, while 18.46% were neonates. Fifty-five cases (42.31%) were due to congenital causes while the rest were of acquired causes. The major causes of intestinal obstruction in the study were intussusception (29.23%), anorectal malformations (22.31%), obstructed inguinoscrotal hernia (16.92%) and Hirschsprung's disease (13.85%). Surgical site infection and sepsis were the commonest complications observed with an overall complication rate of 60.78%. The mortality rate was 3.08% and most (75%) occurred in neonates.
Conclusion: While mortality as an outcome of management is low, the morbidity was very high in this study.

Childhood intestinal obstruction, Pattern, Management outcome.

© Copyright 2009 - Makerere Medical School, Uganda

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