Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2019  |  Volume : 24  |  Issue : 2  |  Page : 120--123

Management strategy of meconium ileus-outcome analysis


Abhishek Kumar Singh, Anand Pandey, Jiledar Rawat, Sudhir Singh, Ashish Wakhlu, Shiv Narain Kureel 
 Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Anand Pandey
Department of Pediatric Surgery, King George's Medical University, Lucknow - 226 003, Uttar Pradesh
India

Background: Meconium ileus (MI) is defined as an intestinal obstruction caused by the impaction of inspissated meconium in the terminal ileum. In this study, we have evaluated the nonoperative management of patients of simple MI without fluoroscopic support –an important requisite of the Noblett's criteria. Besides this, surgical management in cases of failed conservative management and complicated MI was also assessed. Materials and Methods: This was a retrospective observational study. Various clinical and radiological parameters were evaluated. Conservative management included the use of water-soluble contrast diatrizoate meglumine and diatrizoate sodium. In case of nonpassage of meconium in 24 h from first intervention, exploratory laparotomy with ileostomy was performed. All complicated MI underwent exploratory laparotomy with creation of stoma as and when needed. Results: The duration of this study was 6½ years. Twenty-five neonates of MI were admitted. Of these, 22 had simple MI and remaining three had complicated MI. Eighteen neonates responded to the conservative management. In four neonates, who did not respond, exploratory laparotomy was performed. All three neonates having complicated MI underwent exploratory laparotomy. One patient expired in follow-up. Conclusion: MI is an important neonatal emergency, which needed immediate attention of a pediatric surgeon. Proper evaluation of the patient, careful application of principals of conservative management, and timely surgical intervention may fetch satisfactory results.


How to cite this article:
Singh AK, Pandey A, Rawat J, Singh S, Wakhlu A, Kureel SN. Management strategy of meconium ileus-outcome analysis.J Indian Assoc Pediatr Surg 2019;24:120-123


How to cite this URL:
Singh AK, Pandey A, Rawat J, Singh S, Wakhlu A, Kureel SN. Management strategy of meconium ileus-outcome analysis. J Indian Assoc Pediatr Surg [serial online] 2019 [cited 2019 Nov 13 ];24:120-123
Available from: http://www.jiaps.com/article.asp?issn=0971-9261;year=2019;volume=24;issue=2;spage=120;epage=123;aulast=Singh;type=0