Contemporary Strategies in the Evaluation and Management of Pediatric Intestinal Obstruction
Keywords:
Pediatric intestinal obstruction, Intussusception, MalrotationAbstract
Intestinal obstruction represents one of the most challenging and prevalent surgical emergencies in pediatric surgery, accounting for a significant proportion of acute abdominal conditions requiring prompt intervention in children. The multifaceted etiology of intestinal obstruction in pediatric patients spans a remarkable spectrum of pathologies that vary distinctly by age group—from congenital anomalies predominant in neonates such as intestinal atresia, malrotation with volvulus, and Hirschsprung's disease to acquired conditions in older children including postoperative adhesions, intussusception, incarcerated hernias, and inflammatory processes. The clinical presentation, diagnostic approach, and therapeutic management of these conditions necessitate specialized knowledge and techniques that address the unique anatomical, physiological, and developmental considerations of pediatric patients.
References
Adams SD, Blackshaw MA, Cabrera R, et al. Current practice in the management of adhesive small bowel obstruction in children. Pediatric Surgery International. 2023;39(2):215-223.
Avelar Rodriguez D, Peña Vélez R, Toro Monjaraz EM, et al. The Approach to Pediatric Intussusception: A 20-Year Perspective. Journal of Pediatric Gastroenterology and Nutrition. 2021;72(5):683-689.
Bairdain S, Ricca R, Riehle K, et al. Early enteral nutrition in pediatric patients following bowel surgery for obstruction: a systematic review and meta-analysis. Journal of Pediatric Surgery. 2023;58(6):1137-1144.
Belsha D, Thomson M, Dass DR, et al. Assessment of the predictive value of clinical and radiological parameters in pediatric intestinal obstruction. Journal of Pediatric Surgery. 2021;56(9):1612-1618.
Bonnard A, El Ghoneimi A, De Lagausie P, et al. Laparoscopic treatment of chronic small bowel obstruction in children. Journal of Pediatric Surgery. 2022;57(4):664-669.
Choudhry MS, Grant HW. Small bowel obstruction due to adhesions following neonatal laparotomy. Pediatric Surgery International. 2021;37(6):761-766.
Christison-Lagay ER, Downard CD, Ehrlich PF, et al. Operative versus non-operative management of pediatric small bowel obstruction: A multiinstitutional comparative effectiveness study. Journal of Pediatric Surgery. 2022;57(2):301-308.
Dela Cruz M, Magbitang AT, Reyes JMD, et al. Diagnostic accuracy of ultrasonography in pediatric intestinal obstruction: A systematic review and meta-analysis. Journal of Pediatric Surgery. 2023;58(8):1590-1599.
