9507

Pediatric Intestinal Obstruction, Management and Outcomes: A Simple Literature Review

Article

Last updated: 03 Jan 2025

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Abstract

Background: Acute intestinal obstruction occurs when there is an interruption in the forward flow of intestinal contents. This interruption can occur at any point along the length of the gastrointestinal tract, and clinical symptoms often vary based on the level of obstruction. Intestinal obstruction in children can occur as a result of various causes such as, intussusception, adhesive small bowel obstruction, malrotation, and Hirschsprung's disease. In this review paper we will go through the literatures that have been investigated to assess the various management measures and its outcomes. Objective: In this review we aimed at assessing of different management plans of gastrointestinal obstruction in different conditions like Intussusception, Congenital Duodenal Obstruction and Adhesive Small Bowel Obstruction (ASBO), and the outcomes related. Moreover, providing a reference paper analyzing all the clinical studies in this field. Methods: PubMed database was used for articles selection, and the following keys used in the Mesh ("Intestinal Obstruction/diet therapy"[Mesh] OR "Intestinal Obstruction/drug effects"[Mesh] OR "Intestinal Obstruction/ drug therapy"[Mesh] OR "Intestinal Obstruction/surgery"[Mesh] OR "Intestinal Obstruction/ therapy"[Mesh]). Results: Intussusception should be treated with hydrostatic reduction (HR) even with more than one try because this method was associated with high success rate. After successful HR, patient can be discharged from ED if there were no suspected complications. Surgical treatment is indicated mostly in cases of complications. Manual reduction was associated with significantly better post-operative outcomes and lesser time to recovery. It is advised not to maintain high threshold for resection in order to avoid post-operative recurrence or perforation. The use of Gastrografin in treating children with adhesive small bowel obstruction when the conservative management fails is safe. However, half of the patients will need surgical management after all. Conclusion: The laparoscopic approach in the management of congenital duodenal obstruction can be performed in neonates safely. It showed similar outcomes to the open approach despite the presence of high conversion rate.

DOI

10.21608/ejhm.2018.9507

Keywords

Pediatric intestinal obstruction, congenital duodenal obstruction, gastrografin, laparoscopic approach

Authors

First Name

Alaa Mutlaq

Last Name

Alshareef

MiddleName

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Affiliation

Ibn Sina National College

Email

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City

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Orcid

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First Name

Shahd Saeed

Last Name

Alghaseb

MiddleName

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Affiliation

King Khalid University

Email

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City

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Orcid

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First Name

Lamia Saeed

Last Name

Alghaseb

MiddleName

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Affiliation

King Khalid University

Email

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City

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Orcid

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First Name

Shahad Ahmed

Last Name

Alqahtani

MiddleName

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Affiliation

King Khalid University

Email

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City

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Orcid

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First Name

Norah Fahad

Last Name

Alshahrani

MiddleName

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Affiliation

King Khalid University

Email

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City

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Orcid

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First Name

Norah Abdullah

Last Name

Hasoosah

MiddleName

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Affiliation

King Khalid University

Email

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City

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Orcid

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First Name

Alia Musfer

Last Name

Alqahtani

MiddleName

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Affiliation

King Khalid University

Email

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City

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Orcid

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First Name

Marwah Nasser E

Last Name

Alabdrabalameer

MiddleName

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Affiliation

Maastricht University

Email

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City

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Orcid

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First Name

Abdullah Salem

Last Name

Al-Rayshan

MiddleName

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Affiliation

Najran University

Email

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City

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Orcid

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First Name

Tareq Hamad

Last Name

Alotaibi

MiddleName

-

Affiliation

Shaqra University

Email

-

City

-

Orcid

-

Volume

72

Article Issue

5

Related Issue

1829

Issue Date

2018-07-01

Receive Date

2018-07-22

Publish Date

2018-07-01

Page Start

4,454

Page End

4,462

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_9507.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=9507

Order

9

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Pediatric Intestinal Obstruction, Management and Outcomes: A Simple Literature Review

Details

Type

Article

Created At

22 Jan 2023