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Órgano Oficial del Instituto Nacional de Pediatría

2011, Number 3

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Acta Pediatr Mex 2011; 32 (3)

Clinical differences between intestinal oclusion and suboclusion caused by Ascaris lumbricoides. Data suggesting the need for surgical treatment

Álvarez-Solís RM, Gutiérrez-Lucatero S, Vargas-Vallejo M, Quero-Hernández A, Bulnes-Mendizábal D, Hernández-Sierra JF

Language: Spanish
References: 34
Page: 156-162
PDF size: 318.42 Kb.


ABSTRACT

Introduction. Ascariasis is a public health problem in our country. One of its complications is intestinal obstruction with either intestinal suboclussion or occlusion. The latter necessitates surgical treatment.
Goal. To identify the preoperative clinic differences in patients with intestinal suboclussion or occlusion caused by Ascaris in order to determine what factors justify a surgical treatment for intestinal occlusion.
Methods. Retrospective study from 1999 to 2009 in the Hospital del Niño “Dr. Rodolfo Nieto Padron” in 50 patients with intestinal suboclussion and 50 with intestinal occlusion. Preoperative clinical data were analyzed, with SPSS 13.0 version, and the statistic significance with square Chi was determined.
Results. Children under five years of age were the most frequently affected. The significant statistic preoperative clinical features (symptoms, signs and laboratory findings) between occlusion and suboclusion by Ascaris were fever, abdominal distension, vomit; hemoglobine less than 10 grams and a history of antiparasitic therapy (mebensole) with a p=0.006.
Discussion. Based on this data, a clinical model could predict that children under five years of age, with anemia, abdominal distention, vomit, fever and previous antiparasitic therapy (mebensole), may have occlusion by Ascaris lumbricoides and the need of surgical treatment before clinical features of acute abdomen set in.


REFERENCES

  1. Rodríguez GLM, Hernández JEJ, Rodríguez GR. Parasitosis intestinal en niños seleccionados en una consulta ambulatoria de un hospital. Rev Mex Pediatr 2000;67:117-22.

  2. Pous GV, Mancílla RJ. Parasitosis intestinales en la consulta externa del hospital del niño: “Dr. Rodolfo Nieto Padrón”. Tesis de Postgrado. 1992.

  3. Bedii S, Erzurum C. Management of intestinal obstruction caused by Ascaris. Br J Surg 1997;84:410-12.

  4. Villamizar E. Ascaris lumbricoides infestation as a cause of intestinal obstruction in children: experience with 87 cases. J Pediatric Surg 1996;31(1):201-4.

  5. Rodriguez GA, Belmares TJ, Hernandez S. Factores de riesgo para oclusion y suboclusión por Ascaris lumbricoides. Cir Ciruj 2004;72:37-40.

  6. Biagi-Filizola F, Tay-Zavala J, Gutiérrez-Quiróz M, Álvarez-Chacón R. Ascariasis. En: Parasitologia. México; Facultad de Medicina UNAM: 1997.

  7. Tay J. Intestinal helminthes in Mexican Republic. Bol-Chll- Parasitology 1995;50(1-2):10-6.

  8. Khuroo S. Ascariasis. Gastr Clin North Am 1996;25:553-77.

  9. Chawla A, Patwardhan V, Maheshwari M, Wasnik A. Primary ascaridial perforation of the small intestines: sonographic diagnosis. J Clin Ultrasound 2003;31(4):211-3.

  10. Baeza HC, Godoy EA, Sanchez FL, García CL, Najera GH. Coledocoascariasis. Bol Med Hosp Infant Mex 2002;59(12):786-91.

  11. Albonico-M, Smith-PG. Rate of infection with intestinal nematodes after treatment of children with mebendazole or albendazole in highly endemic area. Trans-Soc-Trop-Med-Hyg 1995;89(5):35-59.

  12. Holland-CV. A cost –effectiveness analysis of antihelminthic intervention. Community control of soil-tranmitted helminth infection; levamisole and Ascaris lumbricoides. J Parasitol 1996;82(4):527-30.

  13. Soomro MA, Akthar J. Non operative management of intestinal obstruction due to Ascaris lumbricoides. J Coll Physicians Surg Pak 2003;13(2):86-9.

  14. Hershkovitz D, Wasserberg N. Large bowel obstruction due to Ascaris lumbricoides. Isr Med Assoc J 2004;6(2):115-6.

  15. Madiba-TE. Surgical management of worm volvulos. S-Afr-JSurg 1996;34(1):33-5:35-6.

  16. Sanchez-Jarquin-MR. Ascaris Volvulus. Cir Pediatric 1995;8(3):130-1.

  17. Alvarez SRM, Graham ZLF, Montalvo MA. Apendicitis aguda asociada a parásitos en el apéndice. Bol Med Hosp Infant Mex 1999;56:10-7.

  18. Dorfman S, Cardozo J, Dorfman D, Del Villar A. The role of parasites in acute appendicitis of pediatric patients. Invest Clin 2003;44(4):337-40.

  19. De la Fuente M, Molotla XC, Rocha GE. Biliary ascariasis. Case report and review of the literature. Radiographics 2006;26(5):1567-70.

  20. Kumar V. Parasitic invasion of the lacrimal sac. Vestn Oftalmol 2003;119(3):45-6.

  21. Zamora AO. Localization of Ascaris lumbricoides in the thoracic cavity. Report of a case. Rev Cubana Med Trop 1976;18(2);71-5.

  22. Bulnes MD, Satizaibal RF, Montalvo MA, Villacampa RC, Baeza FE. Pancreatic pseudocyst. Description of a case in an infant. Bol Med Hosp Infant Mex 1989;46(6):422-7

  23. Kenamond CA, Warshauer DM, Grimm IS. Ascaris Pancreatitis. Radiographics 2006;6(5):1567-70.

  24. Hakami M, Kharrad M, Mosavv SH. Escape of ascarides through herniorrhapy wounds. Am J Proctol 1976;27(4):7-8.

  25. Wrzesinski T. Oclussion of the small intestine in a hernial sac caused by a mass of Ascaris lumbricoides. Press Med 1964;72(1):936.

  26. Salman B. Management of intestinal obstruction caused by Ascariasis. J Ped Surg 1997;32:585-7.

  27. Vázquez TO, Gutiérrez Castrellón P, Yamazaki Nakashimada MA, Arredondo Suárez JC, Campos Rivera T, Martínez Barbabosa I. Antihelmínticos como factor de riesgo en la obstrucción intestinal por Ascaris lumbricoides en niños. Bol Chil Parasitol 2000;55(1-2):3-7.

  28. Surendran N, Paulose M. Intestinal complications of roundworms in children. J Ped Surg 1988;23:931-5.

  29. Chrintz H. Second look surgery in ischemic volvulus of the small intestine. Ugeskr Laeger 1989;151(13):838-41.

  30. Okumura M. Acute intestinal obstruction by ascaris. Analysis of 455 cases. Rev Inst Med Trop Sao Paulo 1974;16(5):292-300.

  31. Bar-Maor JA, De-Carvalho JL, Chappel J. Gastrografin treatment of intestinal obstruction due to Ascaris Lumbricoides. J Pediatr Surg 1984;19:174-6.

  32. Brito LL, Barreto ML, Silva R, Assis AM, Reis MG, Parraga I, Blanton RE. Risk factors for iron-deficiency anemia in children and adolescents with intestinal helminthic infections. Rev Panam Salud Pub 2003;14(6):422-31.

  33. Baeza RF. Volvulos por ascariasis intestinal masiva. Bol Med Hosp Infant Mex 1985;42(l3)118-20.

  34. Sorensen E. The efficacy of three antihelminthic drugs given in a single dose. Ceylon Med J 1996;41(2):42-5.




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