Impact of Meconium Obstruction-Related Risk Factors on Surgical Intervention in Very Low Birth Weight Infants
Neonatal Medicine
;
: 84-91, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-125636
ABSTRACT
PURPOSE:
This study investigated the risks of development and surgical complications of meconium obstruction (MO) in very low birth weight (VLBW) infants.METHODS:
We performed a retrospective medical record review of VLBW infants admitted to the neonatal intensive care unit of Haeundae Paik hospital and diagnosed with MO of prematurity (MOP) between March 2010 and August 2013.RESULTS:
Of 267 VLBW infants admitted to the neonatal intensive care unit, 28 were diagnosed with MOP. Perinatal factors including maternal pregnancy-induced hypertension and small for gestational age were associated with MOP development (P<0.05). Over two-thirds of VLBW infants with MOP were successfully treated with a gastrografin enema. The remaining eight VLBW infants required surgery. Although small for gestational age was more frequent in the medical treatment group, specific risk factors associated with MOP development did not affect the need for surgical intervention.CONCLUSION:
MOP is common in VLBW infants, as most VLBW infants have risk factors for MOP. Identifying risk factors permits early diagnosis and initiation of appropriate medical treatment, reducing the necessity for surgery. However, the presence of specific risk factors does not increase risk of surgical complications.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Diatrizoato de Meglumina
/
Cuidado Intensivo Neonatal
/
Registros Médicos
/
Estudios Retrospectivos
/
Factores de Riesgo
/
Edad Gestacional
/
Recién Nacido de muy Bajo Peso
/
Diagnóstico Precoz
/
Hipertensión Inducida en el Embarazo
/
Enema
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
/
Estudio de tamizaje
Límite:
Femenino
/
Humanos
/
Lactante
/
Recién Nacido
/
Embarazo
Idioma:
Inglés
Revista:
Neonatal Medicine
Año:
2015
Tipo del documento:
Artículo
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