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ISSN 2007-5294 (Print)
Confederación Nacional de Pediatría de México, A. C. (CONAPEME)

2010, Number 1

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Pediatr Mex 2010; 12 (1)

Clinical differences between intestinal occlusion and sub-occlusion caused by

Álvarez-Solís RM, Gutiérrez-Lucatero S, Vargas-Vallejo M, Quero-Hernández A, Bulnes MD, Hernández SJF

Language: Spanish
References: 34
Page: 11-17
PDF size: 222.24 Kb.


ABSTRACT

Introduction: Ascariasis is a public health problem in our country. Within its complications, it can be found intestinal obstruction expressed by intestinal sub-occlusion and intestinal occlusion. The last medical problem requires surgical correction.
Objective: To determine the preoperative clinical differences in patients with intestinal occlusion and sub-occlusion due to Ascaris and associated with surgery by intestinal occlusion.
Material and methods: This is a retrospective study carried out from 1999 to 2009 at the «Dr. Rodolfo Nieto Padrón» Children’s Hospital. Fifty patients with intestinal sub-occlusion and another 50 patients with intestinal occlusion were included in the study. The variables and the preoperative clinical data were analyzed by SPSS version 13.0 and, through the Chi-Square Test, a significant statistical difference was obtained.
Results: One hundred patients under five years old were analyzed for the study. In the group of occluded patients, the male sex had 33 patients, and 29 of them were sub-occluded (p = 0.40). In the female sex, the figures were 27 and 21 patients respectively. Fever (p = 0.02), abdominal distension (p = 0.000009), vomit (p = 0.02), hemoglobin under 10 (p = 0.006) y remarkably antiparasitic drugs or medicines with p = 0.006 made the preoperative clinical differences significant between occlusion and sub-occlusion due to Ascaris lumbricoides.
Discussion: According to the study results, a clinical model can be structured in order to predict in what kind of children –under 5 years old, and presenting anemia, abdominal distension, vomit and fever, and having a previous history of mebensole like antiparasitic drug ingestion– surgical management for occlusion caused by Ascaris lumbricoides may be followed. The handling may be performed even before having the florid clinical picture of acute abdomen.


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