Factors affecting early mortality and morbidity in congenital duodenal obstruction: summary of a 20-year experience
Yükleniyor...
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Int College of Surgeons
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
The duodenum is the most frequently obstructed region of the gastrointestinal tract, an important cause of mortality and morbidity in neonatal period. The objective of the present study was to summarize the causes of early mortality and morbidity in infants with congenital duodenal obstruction (CDO). Data on a total of 94 patients with CDO diagnosed in our clinic, and treated surgically between January 1993 and December 2012, were studied retrospectively. Patients were divided into 3 groups in terms of diagnosis: annular pancreas (n = 45), duodenal atresia (n = 31), and duodenal web (n = 18). The groups were compared in terms of sex, birth weight, age at the time of operation, and morbidity and mortality rates. Of the patients, 54 were male and 40 female, and the mean birth weight was 2278 g (range, 1180-3400 g). The average age at the time of the operation was 6.96 days (range, 1-38 days). The time to full oral intake postoperatively was 10.32 days (range, 4-38 days). Additional anomalies were found in 61 cases (64.8%). Early morbidity was most commonly associated with an anastomosis problem. Early mortality occurred in 6 cases (6.4%), and the most common causes were sepsis and cardiac anomalies. Elimination of sepsis, cardiac anomalies, and anastomosis problems is critical to ensure continued reductions in infant mortality and morbidity caused by CDO.
Açıklama
WOS:000708153500019
Anahtar Kelimeler
Duodenal obstruction, Congenital, Early, Morbidity, Mortality
Kaynak
International Surgery
WoS Q Değeri
Q4
Scopus Q Değeri
Q4
Cilt
105
Sayı
1-3
Künye
Aydoğdu, B., Tireli, G., Demirali, O., Güvenç, Ü., Beşik, C., Kavuncuoglu, S. ve diğerleri. (2021). Factors affecting early mortality and morbidity in congenital duodenal obstruction: summary of a 20-year experience. International Surgery, 105(1-3), 99-104.
