DOI: http://dx.doi.org/10.18203/2349-2902.isj20195156

The approach to a neonate with suspected intestinal obstruction: the pediatric surgical perspective

Vivek Parameswara Sarma, Sunil S. Menon

Abstract


In this article, the possible pitfalls while evaluating a new-born with intestinal obstruction are reviewed and a diagnostic algorithm is proposed. The difficulties include the finding of an otherwise well child in most of the surgical problems and the fact that many signs are subtle. The diagnosis of distal bowel obstruction rests on proper radiological interpretation. The new-born with features of intestinal obstruction poses a diagnostic challenge to the neonatologist and paediatric surgeon. But, the systematic interpretation of history, physical examination, radiograph and contrast imaging in select cases will enable a proper and timely diagnosis. 


Keywords


Atresia, Intestinal obstruction, Malrotation, Midgut volvulus, Neonatal

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References


Juang D, Snyder CL. Neonatal bowel obstruction. Surgical Clini. 2012;92(3):685-711.

Adams SD, Stanton MP. Malrotation and intestinal atresias. Early Human Development. 2014;90(12):921-5.

Carroll AG, Kavanagh RG, Ni Leidhin C, Cullinan NM, Lavelle LP, Malone DE. Comparative effectiveness of imaging modalities for the diagnosis of intestinal obstruction in neonates and infants: a critically appraised topic. Acad Radiol. 2016;23(5):559-68.

Reid JR. Practical imaging approach to bowel obstruction in neonates: a review and update. Semin Roentgenol. 2012;47(1):21-31.

Vinocur DN, Lee EY, Eisenberg RL. Neonatal intestinal obstruction. Am J Roentgenol. 2012;198(1):1-0.

Schulman M H. Imaging of neonatal gastrointestinal obstruction. Radiol Clin North Am. 1999;37:1163-86.

Buonomo C. Neonatal gastrointestinal emergencies. Radiol Clin North Am. 1997;35:845-64.

Berrocal T, Lamas M, Gutieerrez J, Torres I, Prieto C, del Hoyo ML. Congenital anomalies of the small intestine, colon, and rectum. Radiographics. 1999;19:1219-36.

Kiely EM. Puri P. Newborn surgery. Meconium ileus. Oxford: Butterworth-Heinemann; 1996: 324-327.

Dillon PW, Cilley RE. Newborn surgical emergencies. Gastrointestinal anomalies, abdominal wall defects. Pediatr Clini North Am. 1993;40(6):1289-314.