Pediatric intestinal obstruction in Malawi: characteristics and outcomes.

Abstract:

BACKGROUND:Intestinal obstruction (IO) is a common pediatric surgical emergency in sub-Saharan Africa with high morbidity and mortality, but little is known about its etiopathogenesis in Malawi. METHODS:Retrospective analysis of patients seen from February 2012 to June 2014 at Kamuzu Central Hospital in Lilongwe, Malawi (n = 3,407). Pediatric patients with IO were analyzed (n = 130). RESULTS:Overall, 57% of patients were male with a mean age of 3.5 ± 4.1 years. A total of 52% of patients underwent operative intervention. The overall mortality rate was 3%. Leading causes of IO were Hirschprung's 29%, anorectal malformation 18%, and intussusception 4%. Neonates and patients with congenital causes of IO underwent surgery less frequently than infants and/or children and patients with acquired causes, respectively. These groups also demonstrated increased number of days from admission to surgery. CONCLUSIONS:Increasing pediatric-specific surgical education and/or training and expanding access to resources may improve mortality after IO in poor medical communities within sub-Saharan Africa.

journal_name

Am J Surg

authors

Shah M,Gallaher J,Msiska N,McLean SE,Charles AG

doi

10.1016/j.amjsurg.2015.11.024

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

722-6

issue

4

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(16)30005-8

journal_volume

211

pub_type

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