title: Pattern of congenital alimentary tract malformation in Ibadan, Nigeria.
abstract: Nineteen children with congenital upper alimentary tract malformation were studied prospectively at the Department of Paediatrics, University College Hospital (UCH), Ibadan, over a period of 12 months. There were 20 cases, grouped into six types comprising congenital hypertrophic pyloric stenosis, seven; cleft lip and/or cleft palate, five; oesophagal atresia with or without tracheo-oesophageal fistula, four; jejunal atresia two and a case each of achalasia and annular pancreas. One patient had oesophageal atresia and congenital hypertrophic pyloric stenosis. The mortality rate was 31.51% (six out of nineteen). Low mortality was recorded in cases of cleft lip and/or palate, while mortalities of over 70% were recorded among cases of jejunal atresia, and oesophageal atresia with or without tracheo-oesophageal fistul. The common causes of death were milk feed aspiration (28.6%-two cases), purulent peritonitis (14.3%-one case), and probable septicaemia (14.3%-one case). The cause of death in two cases could not be determined.
authors.affiliation: Department of Paediatrics, College of Medicine, University of Ibadan, Nigeria.
authors.forename: A G
authors.initials: AG
authors.lastname: Falade
authors.forename: A M
authors.initials: AM
authors.lastname: Shonubi
mesh_terms: D002423:Cause of Death; D004065:Digestive System Abnormalities; D013505:Digestive System Surgical Procedures; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009549:Nigeria; D011446:Prospective Studies; D016019:Survival Analysis; D014504:Urban Health