Pattern of congenital alimentary tract malformation in Ibadan, Nigeria
Falade, A.G.; Shonubi, A.M.
East African Medical Journal 74(6): 385-388
1997
ISSN/ISBN: 0012-835X PMID: 9487402 Document Number: 482532
Nineteen children with congenital upper alimentary tract malformation were studied prospectively at the Department of Paediatrics, University College Hospital (UCH), Ibadan, over a period of 12 months. There were 20 cases, grouped into six types comprising congenital hypertrophic pyloric stenosis, seven; cleft lip and/or cleft palate, five; oesophageal atresia with or without tracheo-oesophageal fistula, four; jejunal atresia two and a case each of achalasia and annular pancreas. One patient had oesophageal atresia and congenital hypertrophic pyloric stenosis. The mortality rate was 31.51% (six out of nineteen). Low mortality was recorded in cases of cleft lip and/or palate, while mortalities of over 70% were recorded among cases of jejunal atresia, and oesophageal atresia with or without tracheo-oesophageal fistula. The common causes of death were milk feed aspiration (28.6% - two cases), purulent peritonitis (14.3% - one case), and probable septicaemia (14.3% - one case). The cause of death in two cases could not be determined.