Gastrointestinal perforations in newborns with high mortality: A series of 18 cases

Journal of Neonatal Surgery

Djifid Morel Seto¹  Sourou Bruno Noukpozounkou²  Michel Armand Fiogbe³  Beaudelaire Romulus Assan³  Amoussou Sedjro Clotaire Romeo Houegban³  Codjo Serge Metchihoungbe³  Aldrico Pautin Covi³  Monsoia Gildas Yassegoungbe³  Houenoukpo Koco³  Eudes Ulrich Elvis Mahougnon Goudjo³ 

[1] Department of General Surgery, District Hospital of Allada, Allada, Benin;Department of Pediatric Surgery, Mother and Child Teaching Hospital Lagune, Cotonou, Benin;Department of Pediatric Surgery, National Teaching Hospital Hubert Koutoukou Maga, Cotonou, Benin;

关键词: Gastrointestinal perforation;    NEC;    Mortality;    Prematurity;    Neonate;   

DOI  :  10.47338/jns.v9.548

来源: DOAJ

【 摘 要 】

Gastrointestinal perforations (GIP) in newborns are serious neonatal conditions that have significant morbidity and mortality, especially in resource constrained setups. This study was done to describe our experience of GIP in neonates and identify the factors leading to high mortality in our setup. We collected 18 cases with GIP in neonates. The average age was 5.7 days (range, 1-7 days). The sex ratio was 0.64. The average time to treatment was 3.3 days (range, 1-10 days). The etiology of GIP was perforated necrotizing enterocolitis (13 patients), spontaneous gastric perforation (2 patients), perforated ileal atresia (1 patient), ileal perforation complicating a strangulated inguinoscrotal hernia (1 patient), and peritonitis after colostomy (1 patient). Mortality was 77.8% (n=14), among which 9 newborns (64.3%) died preoperatively. Prematurity, management delay, and lack of a neonatal intensive care unit were the main poor prognostic factors. Mortality from GIP is still high in our context due to several factors, especially prematurity, management delay, and lack of a neonatal intensive care unit.

【 授权许可】

Unknown