What should we do if a newborn has congenital intestinal malformations?

The symptoms of gastrointestinal duplication are not very typical. Most of its manifestations are symptoms such as acute intestinal obstruction and gastrointestinal bleeding. Some may even affect normal respiratory problems. About 50% of patients may have congenital rectal intestinal malformations, accompanied by problems with the reproductive system. So what should be done for congenital intestinal malformations in newborns?

1. Digestive tract obstruction: Cystic or tubular malformations can compress the intestinal cavity and are the main cause of obstruction. Presentation: recurrent vomiting and abdominal distension, with a duplication deformity at the ileocecal end sometimes palpable in the right lower abdomen. Large cysts in the mesentery may twist and cause intestinal torsion, resulting in strangulated intestinal obstruction. Cysts in the ileocecal intestinal wall can cause intussusception.

Cystic malformations of the stomach and duodenum are usually small but can cause pyloric or duodenal obstruction in the neonatal period. Symptoms: A cystic mass can be felt in the left upper abdomen, accompanied by vomiting, hematemesis or bloody stools.

2. If the vascular duplication malformation of the digestive tract opens into the normal intestinal cavity and there is incompletely developed gastric mucosa, peptic ulcer may often occur.

Symptoms: Bleeding or even perforation, repeated vomiting of blood and bloody stool, leading to anemia.

3. Duplication of the digestive tract in the chest cavity

Symptoms: It can cause symptoms of organ compression. Compression of the esophagus may cause difficulty in swallowing. Compression of the respiratory tract may cause symptoms such as coughing, wheezing, cyanosis, etc. Respiratory distress may occur in the neonatal period.

If the discharge of respiratory secretions is affected, respiratory infections may occur repeatedly. Cystic malformation, such as gastric mucosa, can cause ulcers, rupture into the esophagus or trachea, and cause hemoptysis or hematemesis.

【diagnosis】

This disease should be considered in the following clinical situations:

① Cystic masses are palpated in the abdomen, especially long tubular masses;

② Infants and young children who come to the hospital with symptoms of intestinal obstruction such as vomiting and abdominal distension;

③ Chronic incomplete intestinal obstruction with no known cause, especially with bloody stools;

④The above conditions combined with congenital malformations in other parts of the body can serve as clues for suspected diagnosis of this disease. B-ultrasound exploration reveals long tubular cystic masses, which can be used as an important basis for diagnosing this disease. Fiber endoscopy is also helpful for diagnosis. Barium examination is often negative, but the diagnosis can be made by seeing circular filling defects in the intestinal cavity, pressure marks on the intestinal wall, or barium entering the deformed cystic cavity, indicating the deformity and its extent. In cases of bleeding, 99mtco4 or 99mtckbc can be performed, and abdominal isotope tracer scanning can also help with diagnosis.

In children with high rectal atresia and normal anus and anal canal, there is no meconium discharge or turbid fluid is discharged from the urethra. Rectal atresia can be detected by rectal examination. Girls often have vaginal fistulas. Urinary fistulas almost always occur in boys. Flatus and meconium are the main symptoms of urethral fistula.

Above are some of the problems and causes that may arise from digestive tract malformations. From the above description, we can know that this is a very terrible disease, and it is also very complicated to treat, so everyone must do it in advance.