ABSTRACT
Bowel obstruction is a common cause for admission into the NICU, but pyloric atresia (PA) is a very rare cause of bowel obstruction. This article illustrates the development of the fetal gastrointestinal tract, most specifically the stomach and pylorus. Pathophysiology, typing, and treatment of PA are also explored. Presented are two cases of PA that occurred in a Level III NICU one month apart. Management of this condition is surgical in nature. Long-term prognosis is usually excellent because this defect is often isolated.
Subject(s)
Gastric Outlet Obstruction/nursing , Infant, Premature, Diseases/nursing , Intensive Care Units, Neonatal , Pylorus/abnormalities , Female , Gastric Outlet Obstruction/classification , Gastric Outlet Obstruction/surgery , Humans , Infant, Newborn , Infant, Premature, Diseases/classification , Infant, Premature, Diseases/surgery , Intestinal Obstruction/nursing , Intestinal Obstruction/surgery , Male , Nursing Diagnosis , Pregnancy , Prognosis , Pylorus/surgery , Young AdultABSTRACT
Gastrointestinal and biliary obstructive disorders are complications encountered in advanced cancer nursing that are associated with significant morbidity and mortality. Patients with bowel gastric, or hepatobiliary obstruction require prompt and accurate diagnosis, so that appropriate care is initiated to treat the obstruction and related symptoms. Intensive nursing care aimed at comfort, psychological support, and patient/family education is essential for the well-being of patients suffering from a gastrointestinal obstructive disorder.