Korean J Pediatr Gastroenterol Nutr.  2004 Sep;7(2):179-185.

A Clinical Analysis of Neonatal Surgical Gastrointestinal Diseases in Daegu?Busan Area

• Son SK
• Park JH
• Choi BH
• Choi KH
• Lee KH

Abstract

PURPOSE: Perinatal mortality rates have been used as a summary statistic for evaluating child health and medical status. Neonatal mortality rates have decreased over the past 30 years in Korea. To understand the current status of neonatal surgical gastrointestinal diseases in Daegu?Busan area, we have studied about neonatal gastrointestinal diseases with their clinical features, postoperative outcome, and mortality rates.
METHODS
A clinical analysis on 202 neonates who underwent neonatal surgery from January 1996 to July 2003 at Pusan National University, Kyungpook National University, Youngnam University, and Daegu Catholic University was carried out.
RESULTS
The main diseases of surgical conditions were anorectal malformation (23.8%), atresia/ stenosis of midgut (13.4%) and pyloric stenosis (13.4%). The male to female ratio was 2.8:1. Thirty-five cases (17.0%) had one or more associated anomalies including congenital heart disease, cryptoorchidism, hydronephrosis, and chromosomal anomaly. Twenty cases (10.0%) were diagnosed by antenatal ultrasound. Patients with esophageal atresia had the longest hospitalization for 54.6 days. Postoperative complications occurred in 18 cases (8.9%). The main postoperative complications were wound infection (3.5%) and anastomotic leakage (2.5%). Overall mortality was 5.9%. Diaphragmatic hernia showed the highest mortality rate (37.5%), and esophageal atresia (28.6%) and omphalocele (20.0%) were followed.
CONCLUSION
The current status of neonatal surgical gastrointestinal diseases in Daegu?Busan area has improved because the disease categories are various, postoperative complications and mortality rates are decreased.

Keyword

Neonatal surgery; Gastrointestinal disease

MeSH Terms

Anastomotic Leak
Busan
Child
Child Health
Constriction, Pathologic
Daegu
Esophageal Atresia
Female
Gastrointestinal Diseases*
Gyeongsangbuk-do
Heart Defects, Congenital
Hernia, Diaphragmatic
Hernia, Umbilical
Hospitalization
Humans
Hydronephrosis
Infant
Infant Mortality
Infant, Newborn
Korea
Male
Mortality
Perinatal Mortality
Postoperative Complications
Pyloric Stenosis
Ultrasonography
Wound Infection