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10.11604/pamj.2016.24.43.6256 http://scihub22266oqcxt.onion/10.11604/pamj.2016.24.43.6256 C5012794!5012794 !27642384     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\27642384 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Pan+Afr+Med+J 2016 ; 24 (ä): 43 Nephropedia Template TP {{tp|p=27642384 |t=2016. The Spectrum of Paediatric Intestinal Obstruction in Kenya |pdf=|usr=}}{{27642384 }} gab.com Text The Spectrum of Paediatric Intestinal Obstruction in Kenya JO: Pan Afr Med J http://www.kidney.de/pget.php?&tw=1&pmid=27642384 #FOAvip INTRODUCTION: Intestinal obstruction (IO) occurs when there is impedance to the flow of intestinal contents due to a congenital or acquired pathology, and is a common paediatric surgical emergency. This study aimed to assess the pattern and outcome of paediatric IO in western Kenya. METHODS: A retrospective review of all recorded cases of mechanical IO in patients aged 15 years or below admitted at Tenwek Hospital between January 2009 and December 2013. RESULTS: The cohort included a total of 217 children (130 boys and 87 girls). The mean age was 6.7 years (range: newborn-15 years), with most (65, 30%) cases aged 1-3 years. Vomiting (161, 74.2%), abdominal pain (152, 70%), abdominal tenderness (113, 52.1%), constipation (111, 51.2%), and abdominal distension (104, 47.9%) were the predominant signs and symptoms. The most common causes of IO were ascariasis (96, 44.2%), adhesions (34, 15.7%), and intussusception (30, 13.8%). Intussusception was the leading cause of IO in children aged ? 1 year, ascariasis in children aged 1-5 and 6-10 years, and adhesions in children aged 11-15 years. Operative management was undertaken in 120 (55.3%) cases with 39 (32.5%) of these having gangrenous bowel. The overall mortality rate was 5%. CONCLUSION: The most common causes of mechanical bowel obstruction in this series were ascariasis, adhesions, and intussusception. Ascariasis remains a significant cause of paediatric IO in this region, thus public education, improved sanitation and deworming campaigns may be helpful in reducing the worm burden. Twit Text FOAVip The Spectrum of Paediatric Intestinal Obstruction in Kenya ????Pan Afr Med J http://www.kidney.de/pget.php?&tw=1&pmid=27642384 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27642384 #FOAvip English Wikipedia <ref>{{Cite pmid|27642384 }}</ref> The Spectrum of Paediatric Intestinal Obstruction in Kenya #MMPMID27642384 Ooko PB ; Wambua P ; Oloo M ; Odera A ; Topazian HM ; White R Pan Afr Med J 2016[]; 24 (ä): 43 PMID27642384 show ga INTRODUCTION: Intestinal obstruction (IO) occurs when there is impedance to the flow of intestinal contents due to a congenital or acquired pathology, and is a common paediatric surgical emergency. This study aimed to assess the pattern and outcome of paediatric IO in western Kenya. METHODS: A retrospective review of all recorded cases of mechanical IO in patients aged 15 years or below admitted at Tenwek Hospital between January 2009 and December 2013. RESULTS: The cohort included a total of 217 children (130 boys and 87 girls). The mean age was 6.7 years (range: newborn-15 years), with most (65, 30%) cases aged 1-3 years. Vomiting (161, 74.2%), abdominal pain (152, 70%), abdominal tenderness (113, 52.1%), constipation (111, 51.2%), and abdominal distension (104, 47.9%) were the predominant signs and symptoms. The most common causes of IO were ascariasis (96, 44.2%), adhesions (34, 15.7%), and intussusception (30, 13.8%). Intussusception was the leading cause of IO in children aged ? 1 year, ascariasis in children aged 1-5 and 6-10 years, and adhesions in children aged 11-15 years. Operative management was undertaken in 120 (55.3%) cases with 39 (32.5%) of these having gangrenous bowel. The overall mortality rate was 5%. CONCLUSION: The most common causes of mechanical bowel obstruction in this series were ascariasis, adhesions, and intussusception. Ascariasis remains a significant cause of paediatric IO in this region, thus public education, improved sanitation and deworming campaigns may be helpful in reducing the worm burden. |Abdominal Pain/etiology [MESH] |Adolescent [MESH] |Age Factors [MESH] |Ascariasis/*complications/epidemiology [MESH] |Child [MESH] |Child, Preschool [MESH] |Female [MESH] |Humans [MESH] |Infant [MESH] |Infant, Newborn [MESH] |Intestinal Obstruction/epidemiology/*etiology/therapy [MESH] |Intussusception/*complications/epidemiology [MESH] |Kenya/epidemiology [MESH] |Male [MESH] |Retrospective Studies [MESH]The Spectrum of Paediatric Intestinal Obstruction in Kenya (epmc).pdf DeepDyve Pubget Overpricing