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Article: Meconium ileus-like condition in Hong Kong Chinese neonates

TitleMeconium ileus-like condition in Hong Kong Chinese neonates
Authors
Issue Date2001
PublisherSpringer Hong-Kong Ltd. The Journal's web site is located at http://link.springer.de/link/service/journals/
Citation
Asian Journal of Surgery, 2001, v. 24 n. 4, p. 328-331 How to Cite?
AbstractPurpose: Cystic Fibrosis, Which Is Usually Associated With Meconium Ileus, Is Rare Among The Chinese Population. The Purpose Of The Present Study Is To Determine The Causes Of Meconium Ileus-Like Conditions In Chinese Neonates. Methods: The Records Of Chinese Neonates, Presented To Our Institution From June, 1994 To June 2000, Were Reviewed Retrospectively. All Patients Had Abdominal Distension, Bilious Vomiting Or Bile Aspirate; Contrast Enema Showing Small Colon Filled With Meconium Plugs Or Laparotomy Showing Meconium Plugs Which Filled Up The Distal Small Bowel And Caused Intestinal Obstruction. Results: There Were 10 Patients (7 Boys And 3 Girls) With Ages Ranging From 27 Weeks To 41 Weeks (Mean: 36 Wk) And Birth Weight Ranging From 0.94 Kg To 3.55 Kg (Mean: 2 Kg). Six Babies (60%, 6/10) Were Below 36 Weeks' Gestation And Birth Weight Of 2.5 Kg (27 Wk, 0.98 Kg; 28 Wk, 1.81 Kg; 28 Wk, 1.5 Kg; 31 Wk, 1.1 Kg; 32 Wk, 0.94 Kg; 34 Wk, 1.8 Kg). One Patient (10%, 1/10) Had Bowel Histology Showing Hirschsprung's Disease. Sweat Test Was Positive In Only One Patient (10%, 1/10). One Patient Resolved With Gastrografin Enema And All The Others Needed Surgery. Two Patients Had Primary Anastomosis And One Had Closure Of Enterotomy After Meconium Clearance At Operation, While The Remaining Six Had Initial Enterostomies. Conclusions: Cystic Fibrosis Is Rarely Associated With Meconium Ileus In Chinese Neonates Of Hong Kong. Majority Of The Patients With Meconium Ileus-Like Condition Are Premature Babies. Long Segment Hirschsprung's Disease Can Present Like Meconium Ileus.
Persistent Identifierhttp://hdl.handle.net/10722/83905
ISSN
2015 Impact Factor: 0.912
2015 SCImago Journal Rankings: 0.427
References

 

DC FieldValueLanguage
dc.contributor.authorChan, KLen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:46:37Z-
dc.date.available2010-09-06T08:46:37Z-
dc.date.issued2001en_HK
dc.identifier.citationAsian Journal of Surgery, 2001, v. 24 n. 4, p. 328-331en_HK
dc.identifier.issn1015-9584en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83905-
dc.description.abstractPurpose: Cystic Fibrosis, Which Is Usually Associated With Meconium Ileus, Is Rare Among The Chinese Population. The Purpose Of The Present Study Is To Determine The Causes Of Meconium Ileus-Like Conditions In Chinese Neonates. Methods: The Records Of Chinese Neonates, Presented To Our Institution From June, 1994 To June 2000, Were Reviewed Retrospectively. All Patients Had Abdominal Distension, Bilious Vomiting Or Bile Aspirate; Contrast Enema Showing Small Colon Filled With Meconium Plugs Or Laparotomy Showing Meconium Plugs Which Filled Up The Distal Small Bowel And Caused Intestinal Obstruction. Results: There Were 10 Patients (7 Boys And 3 Girls) With Ages Ranging From 27 Weeks To 41 Weeks (Mean: 36 Wk) And Birth Weight Ranging From 0.94 Kg To 3.55 Kg (Mean: 2 Kg). Six Babies (60%, 6/10) Were Below 36 Weeks' Gestation And Birth Weight Of 2.5 Kg (27 Wk, 0.98 Kg; 28 Wk, 1.81 Kg; 28 Wk, 1.5 Kg; 31 Wk, 1.1 Kg; 32 Wk, 0.94 Kg; 34 Wk, 1.8 Kg). One Patient (10%, 1/10) Had Bowel Histology Showing Hirschsprung's Disease. Sweat Test Was Positive In Only One Patient (10%, 1/10). One Patient Resolved With Gastrografin Enema And All The Others Needed Surgery. Two Patients Had Primary Anastomosis And One Had Closure Of Enterotomy After Meconium Clearance At Operation, While The Remaining Six Had Initial Enterostomies. Conclusions: Cystic Fibrosis Is Rarely Associated With Meconium Ileus In Chinese Neonates Of Hong Kong. Majority Of The Patients With Meconium Ileus-Like Condition Are Premature Babies. Long Segment Hirschsprung's Disease Can Present Like Meconium Ileus.-
dc.languageengen_HK
dc.publisherSpringer Hong-Kong Ltd. The Journal's web site is located at http://link.springer.de/link/service/journals/en_HK
dc.relation.ispartofAsian Journal of Surgeryen_HK
dc.titleMeconium ileus-like condition in Hong Kong Chinese neonatesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1015-9584&volume=24&issue=4&spage=328&epage=331&date=2001&atitle=Meconium+ileus-like+condition+in+Hong+Kong+Chinese+neonatesen_HK
dc.identifier.emailChan, KL: klchan@HKUCC.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-0035192645-
dc.identifier.hkuros68562en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0035192645&selection=ref&src=s&origin=recordpage-

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