Treating congenital intestinal obstruction
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Congenital intestinal obstruction is a malformation appearing due to the formation and fixation of the intestinal tube of the fetus, nervous disorders of the intestine, as well as defects of the mesentery. Very often, the disease is combined with malformations of the heart, esophagus, anorectal pathologies.
What are the manifestations of a bowel obstruction?
The most common clinical picture of high intestinal obstruction in children is frequent vomiting eaten food (milk), which is painted in green, non-colored stool.
Low intestinal obstruction is characterized by vomiting eaten food with bile, and after some time - with an admixture of content of the intestine, the lack of a stool, the appearance of bloating due to accumulation of gas in the intestines.
Such children are dull and almost do not react to the examination, there is pain on palpation of the anterior abdominal wall. The development of peritonitis is also possible.
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Diagnosing fetal intestinal obstruction.
The diagnosis can be set even in utero, during the ultrasound examination of pregnant women. Most often, the physician relays on certain indirect signs.
For high congenital bowel obstruction polyhydramnios is typical as well as an increase in the volume of fetal stomach and duodenal ulcer. For low one- expansion of the intestinal loops of the child.
Diagnosing is based on clinical data - the appearance of vomiting shortly after birth, the absence of the stool, acute bloating.
It is obligatory to perform the abdominal cavity radiography to all young patients with suspected congenital intestinal obstruction.
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Methods of treatment.
Treating intestinal obstruction is only operative.
At a high intestinal obstruction after eliminating the cause of the obstruction, the doctors do not perform a two-step operation, but impose an anastomosis between the parts of the duodenum and a section of the small intestine.
At low intestinal obstruction, the operation is often held in two stages because of the joining of peritonitis or inability to impose anastomosis immediately. The first step involves the removal of the cause of obstruction with excretion of the stoma (bowel area) onto the anterior abdominal wall. The second step is carried out in a few months after the surgery and is connected with the closure of the stoma and anastomosis overlapping between the intestinal sections.
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Specialists who work in the Centre of Pediatric Surgery – are not only professionals, but also sensitive, attentive people who provide a whole range of necessary services and at the same time surround you by care, which is necessary for young patients in such difficult situation. Moreover, the "Clinics of Belarus" will help to connect with the clinic and come for treatment of intestinal obstruction to the Republic of Belarus. Please contact us and we will answer all your questions, we calculate the cost of treatment and reserve a place in a hospital.