Intestinal atresia: a retrospective study of 36 neonates and risk factors to mortality in Tertiary care center, Tripura

Authors

  • Aniruddha Basak Department of General Surgery, Tripura Medical College and Dr. Bram Teaching Hospital, Agartala, Tripura, India
  • Abhik Sil Department of General Surgery, Tripura Medical College and Dr. Bram Teaching Hospital, Agartala, Tripura, India
  • Manidipa Sarkar Department of General Surgery, Tripura Medical College and Dr. Bram Teaching Hospital, Agartala, Tripura, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20250087

Keywords:

Duodenal atresia, Intestinal, Jejuno-ileal atresia, Neonates

Abstract

Background: Intestinal atresia among neonates is still a condition which has huge morbidity and mortality, particularly in the developing world. We share a case series of intestinal atresia in context of their presentation, management and outcome.

Methods: This study was conducted at Tripura Medical College and DR BRAM Teaching hospital, Tripura, over 1 year. We included all patients presenting with jejunoileal atresia, duodenal atresia and their demographic details, presentation, investigations, treatment strategies and the outcome were noted at a pre-designed proforma. All data were analysed using SPSS version 26.

Results: A total of 36 neonates with intestinal atresia were included. Most of them (77.78%) presented after 48 h of life and the mean age at presentation was 5.68±4.75 days. There were 22 male patients (61.11%) and 30 (83.33%) were full-term. The most common presenting complaint was not being able to pass meconium (88.89%). Type III atresia was the most common subtype (41.67%). Most of them underwent resection without tapering. The mean hospital stay was 12.81±6.53 and it was significantly longer among those who underwent re-exploration (P=0.034). 13 patients (36.11%) expired within 6 months of follow-up. The only significant factor for mortality was the presence of short bowel syndrome (P=0.036). All other demographic and management factors did not alter the mortality rate.

Conclusions: Management of surgical neonates is a difficult job in developing countries with limited resources. There is a high mortality rate of neonates following intestinal atresia surgeries and surgeons in these countries must fight on many fronts to improve the outcome.

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Author Biographies

Aniruddha Basak, Department of General Surgery, Tripura Medical College and Dr. Bram Teaching Hospital, Agartala, Tripura, India

Department of General Surgery , Assistant Professor, TRIPURA MEDICAL COLLEGE AND DR.BRAM TEACHING HOSPITAL.

Abhik Sil, Department of General Surgery, Tripura Medical College and Dr. Bram Teaching Hospital, Agartala, Tripura, India

Department of general surgery, assistant professor

Manidipa Sarkar, Department of General Surgery, Tripura Medical College and Dr. Bram Teaching Hospital, Agartala, Tripura, India

Dept of general surgery, JUNIOR RESIDENT.

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Published

2025-01-27

How to Cite

Basak, A., Sil, A., & Sarkar, M. (2025). Intestinal atresia: a retrospective study of 36 neonates and risk factors to mortality in Tertiary care center, Tripura. International Journal of Contemporary Pediatrics, 12(2), 215–220. https://doi.org/10.18203/2349-3291.ijcp20250087

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Original Research Articles