Analysis of 49 cases of intestinal obstruction in infants and children who were admitted to the
Department of Surgery and pediatrics over a three and half years period, from Jan 1966 to Jun.
1969, was presented.
The results obtained as follows:
1) Main causative deseases were intussusception and strangulated external hernia. The former repr
esented 20 cases (40.8%) and the latter 12 cases (24.4%).
The other were congenital hypertrophic pyloric stenosis 5 cases (10.2%), congenital megacolon 3
cases (6.2%), obturation 2 cases (4.1) and miscellaneus 7 cases (14.3%).
2) In intussusception, the sex ratio in male to female was 1.8.1. Fifty % (10cases of them) were
confronted under the age of one year.
In strangulated external hernia, the ratio of male to female was 11:1.
The largest number of cases was from birth up to 3 years of age (58.4%)
In congenital hypertrophic pyloric stenosis, the ratio was 4:1 in male vs. female. The largest
number of cases was from 4 weeks of birth up to 6 weeks (80%).
In congenital megacolon, the ratio in male and female was 3:0. THe largest number of cases was
from 26 days of birth up to 3 months (66.6%).
3) Major complications and causes of death were toxemia (6 cases) and wound distruption (5
cases).
4) The operative mortality was 26.1%. The time interval from onset to operation seemd to be
a deciding factor upon prognosis.
|