[63] Neonatal Intestinal Obstruction Flashcards

1
Q

How common is neonatal intestinal obstruction?

A

The most common surgical emergency in neonates

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2
Q

What are the causes of neonatal intestinal obstruction?

A
  • Hirschprung’s disease
  • Meconium ileus
  • Meconium plug syndrome
  • Intussusception
  • Duodenal/ileal/colonic atresia
  • Neonatal small left colon syndrome
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3
Q

How does neonatal intestinal obstruction present?

A
  • Failure to pass meconium in first 24 hours of life
  • Vomiting with/without bile stained
  • Increased gastric residuals
  • Abdominal distension
  • Absent or decreased bowel sounds
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4
Q

How should suspected neonatal intestinal obstruction be investigated?

A
  • Thorough examination and assessment of circulation
  • AXR
  • Gastrografin enema
  • Look for associated abnormalities
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5
Q

What is the definitive treatment of neonatal intestinal obstruction?

A

Treatment of underlying cause

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6
Q

How else can neonatal intestinal obstruction be managed?

A
  • Place infant in incubator
  • Orogastric tube on low-pressure suction
  • NBM
  • IV fluids
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7
Q

What are the potential complications of neonatal intestinal obstruction?

A
  • Acidosis
  • Shock
  • Perforation
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