Postoperative evolution of intestinal atresias and stenosis at the Regional Center for Neonatal Surgery
DOI:
https://doi.org/10.55204/trc.v3i2.e236Keywords:
intestinal atresias and stenosis, potsoperative evolution, surgical treatment, short bowel syndromeAbstract
Introduction: Intestinal atresias and stenosis constitute the main etiology of organic digestive obstruction in the newborn stage. In recent years, the lethality of these conditions has decreased significantly, from 36.5 % in 1969 to 10 % in the most current reviews.
Objective: To identify the prognostic surgical factors in patients diagnosed at the Regional Center for Neonatal Surgery in Holguin, Cuba, during the period from January 2010 to December 2022.
Methods: A descriptive, retrospective study of 54 patients diagnosed with for these affections, which were related to general, epidemiological, and clinical variables.
Results: Mortality in the series was 11.1 %. The duodenal anatomical site was predominant (62.9 %) and primary anastomosis was the initial surgical technique (77.7 %). Unfavorable evolution was observed in 29.7 % and comorbidity was in the neonatal period (64.8 %) and in the first year of life (54.9 %).
Conclusions: The most significant prognostic factors were the association with complex congenital malformations and low birth weight. The inadequate evolution was favored by the presence of unfavorable anatomical conditions, the development of postoperative enteropathy, as well as prolonged fasting times, parenteral nutrition and, therefore, hospitalization. Follow-up should be directed at growth and development disorders, as well as malabsorption associated with short bowel syndrome. The proper functioning of the current protocols in use will improve the quality of life of these patients.
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