Indications and outcome of childhood preventable bowel resections in a developing country

@article{Ezomike2014IndicationsAO,
  title={Indications and outcome of childhood preventable bowel resections in a developing country},
  author={Uchechukwu Obiora Ezomike and MondayAkpabio Ituen and ChidiSamuel Ekpemo},
  journal={African Journal of Paediatric Surgery},
  year={2014},
  volume={11},
  pages={97 - 100}
}
Background: While many bowel resections in developed countries are due to congenital anomalies, indications for bowel resections in developing countries are mainly from preventable causes. The aim of the following study was to assess the indications for, morbidity and mortality following preventable bowel resection in our centre. Patients and Methods: Retrospective analysis of all cases of bowel resection deemed preventable in children from birth to 18 years from June 2005 to June 2012. Results… 

Tables from this paper

Intestinal Resection in Children: Our Experience in Enugu, Nigeria

Intestinal resection was performed most often for intussusception, and late presentation and ignorance contributed significantly to the number of intestinal resections required.

Acute Mechanical Intestinal Obstruction in Children at Zinder National Hospital, Niger: Aetiologies and Prognosis

Intussusception and strangulated hernia are the most common cause of AMIO in children and Diagnostic and therapeutic delays, lack of paediatric intensive care and post-operative complications are prognostic factors.

PATTERNS AND SEASONAL VARIATION OF INTUSSUSCEPTION IN CHILDREN: A RETROSPECTIVE ANALYSIS OF CASES OPERATED IN A TERTIARY HOSPITAL IN ETHIOPIA.

Intussusception was more common in the wet season and there was delayed presentation with a higher rate of operative management and bowel resection, and the mortality rate has decreased significantly compared with a previous study from this institution.

References

SHOWING 1-10 OF 12 REFERENCES

Bowel resection in children.

  • E. Ameh
  • Medicine
    East African medical journal
  • 2001
The indications for bowel resection in this environment differ from that in developed countries, and most of the indications are preventable by improvements in sanitation and early presentation and treatment.

Preventable causes of bowel resection in Zaria, Nigeria: a report of 93 cases.

The resections included 48 for strangulated external groin hernia with gangrene of the bowel or doubtful viability, typhoid perforation eleven, vehicular trauma ten, anastomotic dehiscence eight and other non-neoplastic causes of faecal fistula eight.

The morbidity and mortality of right hemicolectomy for complicated intussusception in infants.

  • E. Ameh
  • Medicine
    The Nigerian postgraduate medical journal
  • 2002
Recommendations are made to minimize morbidity and mortality in these infants with intussusception in tropical Africa to minimize procedure related complications postoperatively.

Gangrenous bowel in Nigerians.

Improve in socio-economic status, health education, elective repair of hernia and early operative intervention are recommended to bring down the mortality from gangrenous bowel.

Profile of paediatric umbilical hernias managed at Federal Medical Centre Umuahia.

Active observation of all umbilical hernias at all ages will ensure early detection of complications and prompt treatment in patients above five years with fascia defect greater than 1.5cm is encouraged.

Profile of pediatric abdominal surgical emergencies in a developing country.

A pediatric abdominal surgical emergency in this setting has high morbidity and mortality, and efforts geared towards improvement in time to diagnosis and perioperative care may result in better outcomes.

Emergent Right Hemicolectomies

A retrospective review of emergent right hemicolectomies over a 7-year period found age and manifestations of shock at the time of admission are strong predictors of mortality.

External strangulated hernia in Khartoum, Sudan.

Early diagnosis of patients with hernia and elective surgical treatment may offer the best way to minimise the relatively high morbidity and mortality associated with emergency operations.

Gangrenous bowel. Benin experience.

Postmarketing Surveillance of Intussusception Following Mass Introduction of the Attenuated Human Rotavirus Vaccine in Mexico

A temporal increase in the risk for intussusception was seen within 7 days of administration of the first vaccine dose, and this finding has to be put in perspective with the well-documented substantial benefits of rotavirus vaccination.