Possible Newborn Health Problems
Gastro-intestinal Tract Disorders
Unusual Blood Results
Duodenenal obstruction occurs when the duodenum
(the first part of the small bowel) is blocked and cannot allow
the passage of stomach contents.
The obstruction can be due to
Duodenal atresia (part of the
duodenum has formed without a hole through the tube)
Duodenal web (a membrane is
across the tube)
Annular pancreas (the pancreas
squeezes the tube shut)
Sometimes it is found before birth by an ultrasound
A mother may have polyhydramnios; too much
fluid around the baby because no fluid is in the babys
But usually duodenal obstruction is found
on the first day after a baby is born.
The baby keeps vomiting; often a greenish
An x-ray of the babys abdomen shows
that air is trapped in the stomach and first part of the duodenum
because it cant pass through. This is called the double
The baby will need
a tube into the stomach
a heart echo
to be in a paediatric surgery centre
Once duodenal obstruction is found, surgery
is always needed (within the next day or two).
The operation is called a duodenodeuodenostomy,
the blocked part of the duodenum is removed and the two cut
ends of the duodenum are joined together.
Afterwards, the baby will need a few days
in the neo-natal intensive care unit, then a few weeks in hospital
until feeding is going well and there are no other problems.
The child will continue to have check-ups
with the paediatric surgeon to check that the child is getting
enough nutrition and has no intestinal problems.