ArticleAfrican journal of paediatric surgery : AJPS
Acute mechanical intestinal obstruction in children at zinder national hospital, Niger: Aetiologies and prognosis.
Article in African journal of paediatric surgery : AJPS. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 12 citations in OpenAlex.
- Adenocarcinoma of the colon in a pediatric patient: a rare case report.Journal of surgical case reports · 2026Article
- Development and validation of an explainable machine learning model for predicting surgical intervention in pediatric intestinal obstruction.European journal of pediatrics · 2026Article
- Surgical outcome of pediatric intestinal obstruction in Amhara comprehensive specialized hospitals, September 2024.BMC surgery · 2025Article
- Congenital mesenteric absence of mid-gut with ileal volvulus: a case report.Journal of medical case reports · 2025Article
- Delays in presentation of intussusception and development of gangrene in Zimbabwe.The Pan African medical journal · 2021Article
- Overview of Anorectal Malformations in Africa.Frontiers in surgery · 2019Review
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6 authors at 1 institution in 1 country.
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Abstract
backgroundTo describe the aetiological and prognostic aspects of acute mechanical intestinal obstruction (AMIO) in children at Zinder National Hospital (Niger). MATERIALS AND
methodsThis was a cross-sectional study on a period to January 2013-June 2015. The database included all children under 15 years of age with a surgical diagnosis of mechanical intestinal obstruction. P < 0.05 was considered statistically significant for analysis.
resultsAMIOs represent 21.78% (n = 78) of child digestive surgical emergencies (n = 358). Median age was 12 months (range: 1 day-15 years). Fifteen (19.23%) were neonates and sixty children (76.92%) had ≤60 months. The sex ratio (male/female) was 2.8. The mean time from onset to presentation was 39.96 ± 36.22 h. Intussusception and strangulated hernias were the main causes of AMIO with, respectively, 43.59% (n = 34) and 29.48% (n = 23). Anorectal malformations represent 17.95% (n = 14) of cases of AMIO. Intestinal resection was made in 22.08% and colostomy in 19.23% of patients. The average length of hospital stay was 6.44 ± 4.30 days. The post-operative complications were recorded in 26 patients (33.33%), mostly surgical site infections. Overall mortality of AMIO was 15.38% (n = 12). It was higher in the neonates (33.33%) (P = 0.032). Deaths were associated with delay of admission (P = 0.0005) and waiting time for surgery (P = 0.019).
conclusionIntussusception and strangulated hernia are the most common cause of AMIO in children. Diagnostic and therapeutic delays, lack of paediatric intensive care and post-operative complications are prognostic factors.
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