Intestinal Obstruction of Neonates and Infants
نویسنده
چکیده
1. What signs and symptoms suggest intestinal obstruction in the neonate? Signs and symptoms vary according to the location of the obstruction. Proximal intestinal obstruction leads to early bilious vomiting, typically with minimal distention. Neonates with distal intestinal obstruction often present after the first day of life with distention and bilious emesis. Bilious emesis in infants and children deserves immediate investigation. An upper gastrointestinal (UGI) contrast study will identify a surgical cause in about one-third of cases. In particular, malrotation with midgut volvulus should always be ruled out as this condition requires prompt surgical intervention.
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