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Table 2 Clinical course and management of 55 infants with Meconium Related Ileus

From: Meconium obstruction in absence of cystic fibrosis in low birth weight infants: an emerging challenge from increasing survival

 

30 - BW ≥ 1500 g

25 - BW< 1500 g (LBW)

Inborn/Outborn

5/25

8/17

Feeding before onset

None

None

Mean time of referral for OB

2,4 Days (1-7)

11 Days (7-29)

Clinical features

10 meconium plug Syndrome

4 small left colon Syndrome

16 meconium ileus without CF

25 meconium ileus without CF

perforated: - 11 among OB

- 1 among IB

Management

IB

Enema 5

OB

Enema 22

Ileostomy 1

Transappendiceal

Irrigation 2

IB

Enema 5

Resection 1

Transappendiceal

Irrigation 2

OB

Resection 1

Ileostomy 10

Transappendiceal

Irrigation 6