Etiological Spectrum of Neonates Presenting With Intestinal Obstruction at A Tertiary Care Centre

Abstract

Introduction: Intestinal atresia is one of the most common cause of intestinal obstruction in neonates; with very few reported data from the developing countries. Objective: To describe the epidemiological distribution of neonatal intestinal obstruction (NIO) presenting at a tertiary care centre. Methods: Neonates admitted to our surgical NICU with a pre-operative diagnosis of NIO during a period from 1 st august 2013 to 31 st December 2015 presenting within 14 days of life were considered. All cases of NIO associated with tracheaesophageal atresia, hirschsprung disease and anorectal malformations were excluded. An analysis of their post operative diagnosis was done. Results: A total of 271 neonates were included in our study. There were a total of 178 males and 93 females in our study. They presented at a mean age of 4.3 days and on an average weighed 1.9 kg. duodenal atresia was the most common cause of NIO (n= 82), followed by ileal atresia (n= 72). Other causes of NIO included jejuna ileal atresia, jejunal atresia, malrotation, colonic atresia, annular pancreas, duodenal webs, meconium ileus and band obstruction. Conclusion: Duodenal atresia is the most common cause of NIO followed by ileal atresia in our study