Congenital intestinal obstruction in children

Content


Bowel obstruction: the symptoms in children
known
that the occurrence of congenital bowel obstruction in children is associated with many factors, most often the cause of disease
It may be an anatomical obstacle to the promotion of feces. at
congenital form of the disease attacks the intestinal obstruction usually occur
immediately after the birth of a baby, in the case of the first acquired pathology
symptoms may occur in children at any age, and clinical picture
both cases depends on the level of intestinal obstruction. Purchase options
disease in children can be caused by fecal stagnation, or in the case of coprostasia
sluggish bowel, or as a result of blockage of the lumen of the intestine with worms
ascariasis.

acute
congenital intestinal obstruction is most often associated with severe defects
development of the intestine - atresia or stenosis, anomalies or mesentery
other abdominal organs. In addition, the causes of this disease may
be:

  • misplaced mesenteric vessels;
  • peritoneal adhesions;
  • tumor or cyst abdominal cavity;
  • annular shape of the pancreas,
    covering 12 duodenal ulcer;
  • violation of embryonic rotation of the intestine.

The manifestations of intestinal obstruction in children

Congenital intestinal obstruction in children is represented by two variants of the disease:

  • High obstruction, when the obstacle
    located at 12 duodenum;
  • Low obstruction - detect violations of promotion
    stool in the distal colon and small intestine.

Signs
high intestinal obstruction immediately after birth, or through
a few days becomes persistent vomiting, and with bile. Besides
lack of or delay in the chair and the disappearance of bloating after vomiting and
indicates the version of the disease.

Delay
chair - the most characteristic symptom of low obstruction when vomiting
It occurs not once, but joined after 2-3 days, accompanied by enhanced
peristalsis and constant bloating. A typical clinical feature
Low congenital intestinal obstruction is the lack of meconium, and
Only the introduction of neonatal enema or vapor tube helps
exit lumps colorless slime. Copious vomiting, painted in bile,
acquires meconium character and has a fetid smell. abdominal wall
strained typical inguinal swelling appears on day 2-3.
Diagnosis of the disease is carried out by means of X-ray studies
to review the entire abdominal cavity and intestines. Differential diagnosis is carried out
dynamic obstruction or paresis bowel and Hirschsprung's disease.

Bowel obstruction: the symptoms in children
dynamic
or paralytic ileus occurs in connection with a reduction in
intestinal peristaltic activity, which may occur in pneumonia, heavy
inflammation, peritonitis, toxic phenomena, especially
newborns and infants. The clinical manifestations of this disease are not so
clearly expressed, as in acute intestinal obstruction, but notes
bloating and stool retention, impaired motility, vomiting and anxiety
child.

One of
options meconium ileus is an obstruction -
quite a serious disease that is associated with congenital cystic fibrosis
degeneration of the pancreas arises in connection with the blockade of the lower division
ileum pathological changes of meconium. If there is a complete break
patency stool confirms the presence of X-ray diagnostics
single small gas bubbles in the intestine, so-called taped
"Dumb" belly.

Treatment
congenital bowel obstruction - a very difficult task of Pediatric Surgery,
burdened with high mortality. The prognosis for life is very serious and is usually
It depends on timely diagnosis and initiation of treatment, rational
preparation and properly conducted surgery, do not discount
from the accounts of postoperative complications, including: bacterial and
fecal peritonitis, aspiration pneumonia, adhesive obstruction, abscess
and postoperative wound dehiscence.

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