GI obstruction

Quote from "Pediatric Colorectal Conundrums: Case Studies: From Fundamental to Advanced (Pediatric Colorectal Surgery)" by Marc Levitt, Thomas Xu, Hussein Wissanji - "The main differential of surgical diagnoses for an infant with a distal bowel obstruction are: • HD • Neonatal small left colon • Anorectal malformation • Jejuno-ileal atresia • Meconium ileus • Meconium plug syndrome Some medical causes of colonic distension include: • Hypothyroidism • Magnesium sulfate effect • Opiate effect • Milk protein allergy"

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "The ischaemic insult also adversely influences the structure and subsequent function of the remaining bowel. Histological and histochemical abnormalities can be observed up to 20 cm cephalad from the end of the atretic proximal segment. The distal bowel is unused and potentially normal in function."

This quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "Review of the KID data found a 1.67 odds ratio of small bowel resection with operative intervention delayed until hospital day 3–14, and no difference in small bowel resection between operating on day 1 versus day 2. It is recommended that stable patients without concerning signs of perforation, strangulation, or peritonitis can be safely managed conservatively for 48 h in children over 2 years and 24–48 h in children less than 2 years of age [18]. It is crucial that these patients are closely observed for signs of deterioration in either …