Understanding Neonatal Bowel Obstruction: Building Knowledge to Advance Practice

  title={Understanding Neonatal Bowel Obstruction: Building Knowledge to Advance Practice},
  author={Nicole De Silva and Jennifera Young and Paul W. Wales},
  journal={Neonatal Network},
  pages={303 - 318}
Providing care to neonates with bowel obstruction requires a basic understanding of gastrointestinal (GI) anatomy and functional landmarks as well as knowledge of the pathophysiology associated with intestinal blockage. Early recognition and prompt diagnosis necessitate astute assessment of common presenting symptoms and accurate interpretation of diagnostic investigations. Initial medical management is focused primarily on gastric decompression and maintenance of fluid and electrolyte balance… 


This work presented jejunal atresia associated with volvulus without a mesenteric vascular anomaly, which is a very rare congenital anomaly and Rapid diagnosis is important in the treatment of this anomaly.

Trends in Neonatal Intestinal Obstruction in a Developing Country

Outcomes in many developing countries are poor for neonatal bowel obstruction but are rarely published so candidly, and the complex and multiple factors that continue to dog all Third World pediatric surgeons attempting to achieve results comparable to those of developed countries are elaborated.

Neonatal small bowel obstruction in Alexandria, Egypt

Postoperative morbidity and mortality are high in neonatal small bowel obstruction and late presentation, low birth weight, prematurity, associated anomalies and preoperative medical conditions are the main determinants of adverse outcomes.

Small gut atresia in neonates.

BACKGROUND Small gut atresia is a common neonatal surgical problem. Early diagnosis and timely management of the neonate can reduce mortality and morbidity in these patients. The aim of this study

Neonatal Intestinal Obstruction an Analysis of Hospital Data at Pediatric Surgery Department

The antenatal history, initial presentation, physical examination, and plain radiographs frequently can establish the diagnosis and management of intestinal obstruction will almost always be surgical, apart from some notable exceptions.

Trends in Neonatal Intestinal Obstruction in a Developing Country, 1996–2005

There is a trend toward earlier presentation and increased survival of babies with NIO in the setting, and improving the existing facilities and trained manpower, and establishing collaboration with centers that have excellent results may further encourage the trend.

The nursing care of the surgical neonate.

The authors outline the immediate preoperative management, stabilization, and subsequent postoperative nursing care of the surgical neonate.

Admission haematological abnormalities and postoperative outcomes in neonates with acute surgical conditions in Alexandria, Egypt

Haematological parameters in neonates are significantly disturbed by acute gastrointestinal surgical conditions and Serum electrolytes, C-reactive protein and bleeding indices are useful indicators of renal function.

Surgical Admissions in a Newborn Unit in a Low Resource Setting, Challenges in Management and Outcomes

A retrospective study of neonates with surgical conditions admitted into the Special Care Baby Unit of a tertiary health facility in Southern Nigeria over a 3 year period found that delivery outside specialized centres, late presentation, lack of facilities for peri-operative care, poverty and ignorance contributed to increased morbidity and mortality.



Small-bowel obstruction: optimizing radiologic investigation and nonsurgical management.

The authors analyze the recently described radiologic techniques used in the examination of patients with suspected mechanical small-Bowel obstruction, revisit the controversy of the short versus long decompression tube, and provide insights on how to optimize the radiologic investigation and nonsurgical management of small-bowel obstruction.

Emergency gastrointestinal radiology of the newborn.

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Bilious vomiting in newborns is an urgent condition that requires the immediate involvement of a team of pediatric surgeons and neonatologists for perioperative management. However, initial

Failure to pass meconium: diagnosing neonatal intestinal obstruction.

Specific tests such as pelvic magnetic resonance imaging, anorectal manometry and rectal biopsy are helpful in the evaluation of newborns with failure to pass meconium.

The role of CT in the diagnosis of small bowel obstruction: a case and literature review.

Several recent cases which demonstrate the utility of CT in this clinical scenario and a review of literature suggests that CT may have a role in differentiating simple from strangulated small bowel obstruction.

Intestinal obstruction in neonatal/pediatric surgery.

The morbidity and mortality of cases of intestinal obstruction reported in current series is generally extremely low and mainly determined by the coexistence of other major congenital anomalies, delays in diagnosis and treatment or coexisting medical conditions.

Small-intestinal abnormalities in cystic fibrosis patients

A survey is given of the pathophysiology of the main alterations in the small intestine of cystic fibrosis patients and the understanding of meconium ileus in the fetus and the newborn.

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  • E. Guirguis
  • Medicine
    Canadian family physician Medecin de famille canadien
  • 1986
A case of Hirschsprung's disease is described, which is a congenital disease in which ganglion cells are absent from the distal gastrointestinal tract and which results in a functional colonic obstruction, and the most current literature on the topic is reviewed.

Congenital anomalies of the gastrointestinal tract.

The gastrointestinal system anomalies in the newborn infants are not uncommon and are due to either embryogenesis defects or intrauterine vascular accidents resulting in a compromise of fetal blood

Radiographic evaluation of suspected small bowel obstruction.

Enteroclysis is advocated as the definitive study in patients with clinical uncertainty about the diagnosis of small bowel obstruction and the etiology of obstruction in 86% of operated patients.