Abstract
Background: Perforations of the Gastro Intestinal Tract (PGIT) in neonates, postnatally, apart from Necrotising Enterocolitis (NEC) as aetiological factor, though less common, are well known.Materials and Methods: Neonates presenting with PGIT, excluding NEC, were analyzed in this retrospective study, over a period of three years in a tertiary care centre.Results: Of 20 neonates presented with PGIT, during study tenure, 8 were due to non-NEC related causes. The site of perforation was stomach, ileum, cecum, colon, and rectum. The usual causes of PGIT in the neonates were spontaneous perforations and perforations secondary to mechanical obstruction. Patients underwent surgery with good outcome.Conclusions: PGIT in neonates due to aetiological factors apart from NEC, have better outcome, than those with NEC. The other causes of PGIT are spontaneous perforation, intestinal atresia, Hirschsprung’s disease, anorectal malformations etc.
Highlights
Perforations of the Gastro Intestinal Tract (PGIT) in neonates due to Necrotising Enterocolitis (NEC) is well known; other causes are usually spontaneous perforations or perforations secondary to mechanical obstruction.[1]Spontaneous or focal intestinal perforations have no demonstrable cause, and the usual site of perforation is terminal ileum.[2]
Neonates born with meconium peritonitis were excluded
There were total of 20 neonates treated for PGIT during the study period
Summary
PGIT in neonates due to NEC is well known; other causes are usually spontaneous perforations or perforations secondary to mechanical obstruction.[1]. Spontaneous or focal intestinal perforations have no demonstrable cause, and the usual site of perforation is terminal ileum.[2] Mechanical obstruction may cause perforation at any part of the gastro intestinal tract. This study is performed to identify aetiological factors of PGIT in neonates apart from NEC. Perforations of the Gastro Intestinal Tract (PGIT) in neonates, postnatally, apart from Necrotising Enterocolitis (NEC) as aetiological factor, though less common, are well known. The usual causes of PGIT in the neonates were spontaneous perforations and perforations secondary to mechanical obstruction. Conclusions: PGIT in neonates due to aetiological factors apart from NEC, have better outcome, than those with NEC.
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