Abstract Ref Number = APCP868
SURVIVOR CHARACTERISTICS OF CONGENITAL MALFORMATIONS OF THE GASTROINTESTINAL TRACT POST SURGICAL CORRECTION IN ARMY CENTRAL HOSPITAL JAKARTA
Marissa Anggraeni,Diana Chaidir,Carina Estefani Jacobs,Catur Suzantra Sutisna,Irhamni ,Windhi Kresnawati,Yenny Kumalawati Santoso,Yenny Purnama
RSPAD GATOT SOEBROTO
Background : Congenital Malformations of the Gastrointestinal Tract (CMGIT) usually manifest in the neonatal period, with symptoms and signs of gastrointestinal tract obstruction and could be life-threatening. Survival rate of MCMGIT post correction varies among countries between 77,9%-87%, whereas in Army Central Hospital remain low at 58,62%.
Material : This Descriptive Retrospective study was carried out in NICU during the period of October 2017 to March 2018. All The CMGIT babies operated in this hospital during this period were included.
Results : Of the twenty nine cases of CMGIT admitted to NICU for surgical correction, there were 17 survivors. All the patients were referral patients. The study shows that there is no significant difference between survivor and non-survivor groups in vital sign and complete blood count on admission, APGAR score, albumin level, length of stay, and time of surgery (elective vs cito). In survivor groups, colostomy was the most frequent type of surgery (76% of cases) whereas non-survivor groups predominated with resection-anastomoses operation (86% of cases). There are several significant difference between the two groups (survivor vs non-survivor): the proportion of full term babies (88% vs 58%), referral age (7 vs 14 days), septicemia (41% vs 67%), and the need of ventilator (5,8% vs 91,6%).
Conclusions : Most of the survivors from CMGIT post surgical correction were full term babies. They were referred before 7 days old. They had no resection-anastomoses operation, and had no comorbid conditions such as septicemia and were on ventilator support.
Keywords: congenital malformation of gastrointestinal tract surgical correction survivor non survivor