Neonatal intestinal obstruction

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Neonatal G I Tobstruction : 

19/12/1430 Neonatal G I Tobstruction BY DR. ABDULLA ALSAID PEDIATRIC SURGEON FRCSI M .S,

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19/12/1430 Surgical response of NB The endocrine &metabolic response is catabolic. Insulin , cortisol, & glucagon, Energy reserve mobilised. Early post. Operative nutrition . Catabolic state duration.

Causes : 

19/12/1430 Causes Faults in the passage atresia-stenosis-duplic. Faults in the passenger me conium ileus –plug Faults in the power pyloric stenosis-Hirsch.& NEC Extrinsic causes bands- annular pancreas external &internal her. malrotation

DIAGNOSIS : 

19/12/1430 DIAGNOSIS Antenatal Postnatal Bilious vomiting Abdominal distention Failure to pass me conium 4 Choking & excessive salivation Plain x- ray abdomen

Oesophageal atrezia : 

19/12/1430 Oesophageal atrezia TYPES upper pouch TOF

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19/12/1430 Dr.Abdulla alsaid T.O.F LUNG Closed T.O.F N.G.T upper pouch lower pouch ligated fistula Lung

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19/12/1430 DR. ABDULLA ALSAID anastomotic line

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TYPES OF INTES. ATRESIA : 

19/12/1430 TYPES OF INTES. ATRESIA Type 1 Type 2 Type 3 a-b Type 4

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19/12/1430 MANAGEMENT

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19/12/1430 The operative strategy in treating intestinal atrez. Is to restore G.I.T continuity preserving as possible as we can intestinal length . The overall survival rate about 93% in most large series. Short bowel syndrome with less than 40 cm and needs long term regimen of TPN .

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19/12/1430 Keep N.P.O

Pre-operative management : 

19/12/1430 Pre-operative management Suction and drip Prophylactic antibiotics Blood group and cross match C.B.C’ – EUC U.S abdomen Informed consent for surgery

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19/12/1430 Congenital pyloric stenosis Texte

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19/12/1430 double bubble appearance

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19/12/1430 post.operative

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19/12/1430 gastrografin study

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19/12/1430 jejunal atrezia

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19/12/1430 jejunal atrezia DR. ABDULLA ALSAID DR.Abdulla alsaid

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19/12/1430 Enteroplasty DR. Abdulla alsaid

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19/12/1430 POST.OPERATIVE

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19/12/1430 ileal atresia

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19/12/1430 End to end anastomosis

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19/12/1430 Duplication cyst Duplication cyst

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19/12/1430 Low imperforat anus Anoplasty

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19/12/1430 vest. anus

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19/12/1430 Imperforate anus

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19/12/1430 C P

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19/12/1430 R.U.F R.U.F

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19/12/1430 F Rectum Rectum

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19/12/1430 Meconium ileus

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19/12/1430 1 2 3 4 R.s m m A.C

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19/12/1430 Total colonic aganglionosis

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19/12/1430 N.E.C

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19/12/1430 N.E.C

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19/12/1430 INTESTINAL OBSTRUCTION

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19/12/1430 ADHESIVE BAND

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19/12/1430 POST OPERATIVE

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19/12/1430 Annular pancreas

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19/12/1430 duodeno-duodenostomy Abdulla alsaid

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19/12/1430 strangulated inguinal hernia

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19/12/1430 post.operative

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19/12/1430 C.D.H C.D.H DR. ABDULLA ALSAID

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19/12/1430 DR. ABDULLA ALSAID Repair the defect

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19/12/1430 see you in Egypt

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19/12/1430 O.A

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