Congenital Duodenal Obstruction in Neonates: Over 13 Years’ Experience from a Single Centre

Authors

  • Parveen Kumar Maulana Azad Medical College
  • chiranjiv kumar maulana azad medical college
  • prince raj pandey maulana azad medical college
  • Yogesh Kumar Sarin Maulana Azad Medical College

DOI:

https://doi.org/10.21699/jns.v5i4.461

Keywords:

Duodenum, Obstruction, Atresia, Malrotation

Abstract

Aim: To study the prevalence of associated anomalies with neonatal duodenal obstruction and factors impacting short-term survival.

Material and methods: Records of 31 neonates with neonatal duodenal obstruction could be retrieved and analyzed for a 13.5-year-period (October 2003-May 2016). M:F ratio was 1.58:1. The mean birth weight was 2.15 kg; 12 patients were preterm. Etiologies included duodenal atresia (n=23), duodenal web (n=8) and malrotation of gut (n= 6).

Results: Associated anomalies were seen in 19/31: Down’s syndrome (n=6), anorectal malformation (ARM) (n=5), annular pancreas (n=5), cardiac anomalies (n=4), esophageal atresia with trachea-esophageal fistula (EA with TEF) (n=3). Mortality in the series was 22.5%; 5 deaths and 2 patients left against medical advice in moribund state (hidden mortality). Mortality in associated anomalies group was 5/19; and 2/12 in the no anomalies group, though this difference was not statistically significant (p=0.676). Similarly, low birth weight (LBW) did not have impact on survival (p=0.639) but preterm status had highly significant p value (Conclusion: Duodenal atresia was the commonest cause of neonatal duodenal obstruction. Associated anomalies were noted in 61% patients, Down’s syndrome being the most frequent. These anomalies did not have any significant impact on the survival, nor did LBW. Preterm status had significant impact on prognosis.

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Published

2020-07-15

How to Cite

1.
Kumar P, kumar chiranjiv, pandey prince raj, Sarin YK. Congenital Duodenal Obstruction in Neonates: Over 13 Years’ Experience from a Single Centre. J Neonatal Surg [Internet]. 2020Jul.15 [cited 2021Jul.30];5(4):50. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/313

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