title: Congenital Neonatal Intestinal Obstruction: Retrospective Analysis at Tertiary Care Hospital.
abstract: BACKGROUND
  The purpose of this study is to analyze the etiology, clinical presentation and outcome of neonatal intestinal obstruction at our institute.
  
  
  METHODS
  The medical record of all the patients, presented with intestinal obstruction in neonatal period during 2014 and 2015 was reviewed retrospectively for etiology, clinical features, investigations, management, and outcome.
  
  
  RESULTS
  Out of total 53 cases of neonatal intestinal obstruction, 27 were of intestinal atresia (9 cases (17%) were of duodenal atresia, 7 (13%) were of jejunal atresia and 8 (13%) were ileal atresias and 3 cases were found with colonic atresia); 7 were malrotation, 17 were Hirschsprung's disease (HD). All the patients were investigated with abdominal radiography and sonography. All patients were managed surgically. Overall mortality was 10/53 (18.8%). Out of 27 cases of atresia, 9 patients died (33% mortality). Septicemia was the cause of death in 7 patients (58.3%). Anastomotic leak was present in one mortality case.
  
  
  CONCLUSIONS
  The most common cause of neonatal intestinal obstruction is atresia. Duodenal atresia was the most common atresia in our study followed by ileal atresia. Postoperative complications like septicemia led to most of deaths in our series. Septicemia, wound infection, hypothermia, prematurity need special attention for survival of neonates.
authors.affiliation: Department of Pediatric Surgery, RNT Medical College, Udaipur Rajasthan.
authors.forename: Vijay
authors.initials: V
authors.lastname: Singh
authors.affiliation: Department of Pediatric Surgery, RNT Medical College, Udaipur Rajasthan.
authors.forename: Manish
authors.initials: M
authors.lastname: Pathak
keywords: Atresia; Intestinal obstruction; Malrotation; Neonate