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[Digestive system surgical emergencies in neonates at the University Hospital of Dakar].

The goal of this study was for the authors to evaluate their series of digestive surgical emergencies in the neonates. It is a retrospective study on 69 babies treated for a digestive surgical emergency between january 1998 and december 2000. Only 52 babies were born in a medical unit. There was one case of antenal diagnosis and 16 of immediate post-natal diagnosis. The babies ages in the delayed cases ranged from 1 to 17 days with a mean of 7 days and medium of 3 and 6 days. The following malformations were diagnosted: 41 anorectal malformations; 11 omphaloceles; 2 laparoschisis; oesophageal atresia in 8 cases; duodenalatresia in 5 cases; hirschsprungs disease in 2 cases. On presentation, 25 patients were dehydrated, 24 had respiratory difficulties, 5 a severe infection and 20 had hypothermia. The post operatives complications were mostly respiratory. Global mortality rate was 44.92%. The delay in diagnosis and hospital care, the occurrance of hypothermia and respiratory complications are the main reasons of this high mortality.

Digestive System Diseases↗

[Contribution of digestive system ultrasonography in the assessment of abdominal pain in children].

The quality of modern ultrasonography allows to study not only solid abdominal organs but also digestive walls and abdominal lymphnodes, leading to accurate diagnosis in many cases, and decreasing the use of more aggressive radiological procedures (upper GI baryum studies, baryum enema, intravenous pyelography, etc.). In dealing with abdominal pain in children, the plain XRay film of the abdomen and abdominal echography are performed immediately after history taking and physical examination, and are equally important in the work up of these cases.

Abdominal Pain↗