Diagnostics and treatment of newborn intestinal obstruction with use of methods of interventional ultrasound

Abstract

The main methods of diagnostics newborn intestinal obstruction (NIO) is radiological. Ultrasonography (US) plays a supporting role when carrying out differential diagnostics. Purpose: to estimate possibilities of diagnostics and treatment of children with NIO and its complications with use special interventional methods of US. Methods: Retrospective study of results of the treatment children with NIO operated in the Arkhangelsk children’s hospital in 1998-2012 was conducted, in 62 the protocol of investigation included special US methods. Two groups were compared: 1st (n=44) for the purpose of diagnostics of NIO and its reasons special US methods (US of the stomach with contrasting by fluid, hydrocolonic sonography (HS)) and X-RAY carried out, 2^nd (n=44) were only radiological investigations. In both groups timeliness of establishment of the diagnosis and a postoperative lethality were estimated. Results: All types of NIO and their complications had direct signs (visualization of the atresia, volvulus, exudate at peritonitis, violation of a passage in underlying departments of a gastrointestinal tract) and indirect US signs allowing to make a conclusion about obstruction reason. In the 1st group the diagnosis of NIO was significantly more often made in time (p <0,001), statistically significantly was less often observed lethal outcome, than in patients of the 2nd group (p <0,001).