Clin Pediatr Surg | Volume 1, Issue 1 | Review Article | Open Access
Coulibaly Y1*, Amadou I1, Diall H2, Coulibaly OM1, Doumbia A1, Kamaté B1, Djiré MK1, Maiga B2, Coulibaly CO2, Coulibaly YM1 and Diarra A1
1Services of Pediatric Surgery, Teaching Hospital Gabriel Touré, Mali 2Department of Pediatrics, Neonatology Unit, Teaching Hospital Gabriel Touré, Mali
*Correspondance to: Coulibaly YacariaFulltext PDF
Introduction: Bowel atresia is a partial or total interruption of digestive lumen in the level of a segment. It is rare. Objectives: To determine the hospital frequency of intestinal atresia and to describe surgical outcome of intestinal atresia at the Teaching Hospital Gabriel Toure. Patients and Method: This was a retro and prospective study carried out from January 1, 2012 to December 31, 2019 in all newborns admitted and operated for intestinal atresia. Esophageal atresia and other causes of neonatal occlusion were not included in this study. Results: During this study period, intestinal atresia accounted for 14.8% of neonatal occlusions. The average age of patients was 1.42 days with extremes of 1 and 6 days. The sex ratio was 0.8. Abdominal distension was the most common reason for admission (70%). Atresia was at the duodenal level in 17 cases (23.6%), jejunal in 23 cases (32%) ileal in 29 cases (40.3%) and colic in 3 cases (401%). Excision of the diaphragmatic membrane was the most used technique (44.4%). Fourteen of our patients (19.4%) died on the operating table because they did not wake up and 24 (33.3%) in the immediate suites. The mortality rate was not related to the patients’ sex, weight, the presence of associated malformation, the site and the type of atresia. However, the resection- anastomosis and ostomy have influenced the mortality (p ≤ 0.05). Conclusion: Intestinal atresia is a common cause of bowel obstruction in our daily practice. Antenatal diagnosis with early management in a multidisciplinary context will improve the patients’ prognosis.
Intestinal atresia; Frequency; Diagnosis; Treatment; Mali
Coulibaly Y, Amadou I, Diall H, Coulibaly OM, Doumbia A, Kamaté B, et al. Surgical Outcome of Bowel Atresia at the Neonatology Unit of the Teaching Hospital Gabriel Toure, Bamako, Mali. Clin Pediatri Surg. 2020;1(1):1004..