Analysis of Neonatal Gastrointestinal Diseases in a Neonatal Intensive Care Unit for 3 Years Neonatal GI Diseases in a NICU for 3 Years.

Kwon,  Kyoung Ah; Bae,  Mi Hae; Park,  Kyung Hee; Byun,  Shin Yun; Cho,  Yong Hoon; Kim,  Hae Young; Sung,  Si Chan

doi:2011.18.2.337

Neonatal Med > Volume 18(2); 2011 > Article

Original Article

Journal of the Korean Society of Neonatology 2011;18(2):337-344.
DOI: https://doi.org/10.5385/jksn.2011.18.2.337 Published online November 25, 2011.

Analysis of Neonatal Gastrointestinal Diseases in a Neonatal Intensive Care Unit for 3 Years Neonatal GI Diseases in a NICU for 3 Years.

Kyoung Ah Kwon, Mi Hae Bae, Kyung Hee Park, Shin Yun Byun, Yong Hoon Cho, Hae Young Kim, Si Chan Sung

¹Department of Pediatrics, Pusan National University School of Medicine, Busan, Korea. byun410@hanmail.net
²Department of Surgery, Pusan National University School of Medicine, Busan, Korea.
³Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Busan, Korea.

Abstract

PURPOSE
To report our experience of gastrointestinal operations performed in neonates including low birth weight infants and to evaluate their clinical characteristics.
METHODS
We retrospectively reviewed the medical records of patients who underwent neonatal gastrointestinal surgery or had necrotizing enterocolitis (NEC) or inguinal hernia from January 2008 to December 2010 at Pusan National University School of Medicine.
RESULTS
The main disease was anorectal malformation and male patients were dominant. Twenty four patients (19.2%) had one or more associated anomalies including hydronephrosis and congenital heart disease. Eighteen patients (43.9%) of anorectal malformation had other anomalies. Seventy six percent of NEC cases were very low birth weight infants. Concerning mean days of full enteral feeding after operation, NEC patients needed 30.8 days, which was the longest period. Overall mortality of operation (except NEC and inguinal hernia operation) was 1.6%. The mortality of NEC with surgical treatment was 18.8%. The direct bilirubin in the operation group was significant higher than in the non-operation group in NEC patients.
CONCLUSION
The morbidity and mortality after neonatal gastrointestinal surgery were excellent. The direct bilirubin in the operation group was significant higher than in the non-operation group in NEC.

Key Words: Neonatal surgery; Gastrointestinal disease; Necrotizing enterocolitis