Vol. 10, Issue 2, Part C (2024)

Introduction: The study aimed to determine the epidemiological characteristics, etiologies and post operative outcome of neonatal occlusions in Lubumbashi.

Materials and Methods: This was a cross-sectional descriptive study of neonatal intestinal obstructions carried out at the university clinics of Lubumbashi and at the Sendwe provincial general referral hospital, over a period of 5 years, from January 2018 to December 2022. 41 files of patients with neonatal intestinal obstruction were selected for our study. Data included age at admission and sex of newborns, patient and familial medical history, the monitoring of prenatal consultations, the performance of antenatal ultrasound, the etiologies, the managment as well as the evolutionnary aspects.

Results: Neonatal occlusions represent 5.13% of pediatric surgery cases. Newborns aged 0 to 7 days were the most represented and the mean patient age at admission was 6,84 ± 5,02 days, (range, 0-28 days); Male predominance was observed (53.65%) and The mean birthweight was 2896.44 ± 733.33g. Anorectal malformation and Hirshprung diseas were the most common pathologies with respectivly 58.53% and 12.20%. Septicemia and dehydration were the most post perative complications. The morbidity rate was 41.47%; the overall and postoperative mortality rate were 29.26%

Conclusion: Neonatal obstruction remains a real health problem in our environment and its early managment remains the essentaial element in the survival of the newborn.