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Pattern and outcome of childhood intestinal obstruction at a Tertiary Hospital in Nigeria

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...

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Published: 2009
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LEADER 00000njm a2000000a 4500
001 oai:repository.ui.edu.ng:123456789/12697
042 |a dc 
720 |a Ogundoyin, O. O.  |e author 
720 |a Afolabi, A. O.  |e author 
720 |a Ogunlana, D. I.  |e author 
720 |a Lawal, T. A.  |e author 
720 |a Yifieyeh, A. C.  |e author 
260 |c 2009 
520 |a 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 Hirschsprungís 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. 
024 8 |a 1680-6905 
024 8 |a ui_art_ogundoyin_pattern_2009 
024 8 |a African Health Sciences 9(3), pp. 170-173 
024 8 |a https://repository.ui.edu.ng/handle/123456789/12697 
653 |a Childhood intestinal obstruction 
653 |a Pattern 
653 |a Management outcome 
245 0 0 |a Pattern and outcome of childhood intestinal obstruction at a Tertiary Hospital in Nigeria