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العنوان
Study of Prevalence, Diagnosis and Non-Operative Versus Operative Therapy of Idopathic Meconium Obstruction of the Distal Small Bowl in Very Low Birth Weight Neonates
المؤلف
Abd El Sadek,Refaat Mohammed
هيئة الاعداد
باحث / Refaat Mohammed Abd El Sadek
مشرف / Ibrahim Bassiouny
مشرف / Tarek Ahmed Hassan
مشرف / Ashraf Kabesh
مشرف / Ehab Abdel Aziz Al Shafey
الموضوع
Necrotizing enterocolitis -
تاريخ النشر
2010
عدد الصفحات
139.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
1/1/2010
مكان الإجازة
جامعة عين شمس - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

from 139

from 139

Abstract

Meconium obstruction of prematurity is a distinct clinical condition that occurs in very low birth weight infants, predisposing them to intestinal perforation and prolonged hospitalization if not diagnosed and treated promptly.
These very low birth weight infants had delayed passage of meconium followed by signs and symptoms of low intestinal obstruction. They were more likely to have histories of maternal preeclampsia, suggesting the possibility of decreased intestinal perfusion prenatally.
Inispissated meconium was located in the distal ileum, making this disease process difficult to treat. Such meconium is not associated with cystic fibrosis..
Gastrografin enema proved to be safe, diagnostic and therapeutic. Delay in diagnosis and treatment was associated with perforation and delay in institution of enteral feeds.
Because meconium obstruction of prematurity is becoming a more prevalent and important diagnosis, prompt recognition of this disease and its risk factors with early and aggressive medical management is essential to prevent the need for surgical intervention