Intestinal obstruction in the neonatal period.

نویسنده

  • H H NIXON
چکیده

INTESTINAL obstruction in the newborn infant may seem at fist consideration to represent a rather small segment of neonatal pathology. Yet it is responsible for most of the surgery in the newborn period and for the most discouraging mortality figures of any of the neonatal surgical entities within reach of therapy. The purpose of this discussion is to provide that perspective which could lead to an aggressive suspicion regarding intestinal obstruction in the neonatal period. Almost all of the congenital anomalies incompatible with life yet amenable to surgical correction pose problems in intestinal obstruction or produce symptoms of it. Atresia of the esophagus, diaphragmatic hernia, atresia of the small and large bowel, imperforate anus, and extrinsic intestinal obstructions due to a variety of lesions, are all without question among these. In addition to the obstructive lesions which are uniformly fatal when not corrected by surgery, a surprisingly large group of congenital defects may produce intestinal obstruction in the neonatal period. Such defects, to be sure, can exist without ever producing signs or symptoms or may become associated with intestinal obstruo tion in adult life, but a sufficient number cause trouble in the newborn period to warrant their enumeration at least. Except for procedures for an occasional omphalocele or, rarely, for the relief of respiratory obstruction or urinary retention, most neonatal surgery in the pediatrician’s experience is for the relief of

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عنوان ژورنال:
  • The Journal of the Faculty of Radiologists. Faculty of Radiologists

دوره 4 4  شماره 

صفحات  -

تاریخ انتشار 1953