In newborn infants, usually found congenital bowel obstruction, which is about 25% of the intestinal obstruction in children.With this type of congenital anomalies importantly - timely detection and timely surgery.
Causes of intestinal obstruction in neonates
congenital bowel obstruction develops, usually with congenital malformation of the intestine.It can be congenital absence or abnormal narrowing of a hole or a channel in the human body (atresia), stenosis (narrowing of the bowel), a high location cecal volvulus in conjunction with another department colon syndrome (Ladd), impairment of bowel loops in defectsmesentery and so on.Bowel obstruction in infants may also be caused by abnormalities of adjacent organs such as the pancreas Diabetes and pancreas - the things you need to know .
intestinal obstruction in infants can be acute, chronic and recurrent.
Acute intestinal obstruction in neonates
acute intestinal obstruction newborn is separated into high and low.High acute
With a sharp narrowing of the lumen of the duodenum or the absence or jejunum addition to the above signs appear allocation rectal mucous clumps in which no cells of the surface layers of the skin, alwayspresent in the amniotic fluid and the fetus swallows.Such cells in normal intestinal obstruction must be present in meconium (first stool) newborn.
Low acute intestinal obstruction caused by an obstacle at the level of the final parts of the small and large intestines.
In this case the child may appear to vomit smell of feces, no stool, bloating Bloating - if you are bursting inside due to the presence in the intestine of a large amount of gas, increased motor activity of the intestine visible oneye.
One form of acute intestinal obstruction acute intestinal obstruction: the main thing - time to ask for help , is meconium ileus - obstruction caused by increased viscosity of feces of the newborn.In this form of ileus missing child chair upper abdomen swells from the large amounts of gases in the intestine, vomiting occurs, often mixed with bile.
chronic and recurrent intestinal obstruction
Chronic bowel obstruction in infants occurs if the malformation is not too pronounced.For example, stenosis of the gut is not fully closes its clearance and so on.The child is almost not gaining weight, he expressed exhaustion occurs from time to time there is vomiting (sometimes with bile).Such a child has a constant bloating especially in the upper part.The chair can be independent, but very small portions.You can also call a chair with the help of an enema.
Recurrent bowel obstruction in infants is caused by the partial turn-up of some departments of the large intestine, infringement of internal hernias, and so on.This is manifested in the form of attacks of cramping pain, vomiting, constipation and gas.Seizures may subside on their own.
How to diagnose
It is difficult enough.If you suspect a congenital obstruction of the newborn child is bowel radiography, where you can see signs of intestinal obstruction.If you suspect a low intestinal obstruction performed irrigoscopy - X-rays of the lower intestine.
Even though the data of X-ray studies, ileus may be confused with a variety of functional disorders of the gastrointestinal tract that most often occur in premature infants.
Treatment Treatment of congenital bowel obstruction bowel obstruction - the reasons may be different operative.Method of operation depends on the characteristics of malformation of the intestine.Thus, when duodenal atresia is the method of choice duodenoeyunostomiya - surgery anastomosis (communication) between the duodenum and jejunum.
If the cause of intestinal obstruction in the newborn child became functional disorders, then it is assigned a conservative treatment.
bowel obstruction in infants - it is usually severe congenital pathology.The most important thing in this case - time to make the correct diagnosis and to operate on the baby.