{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:01:25Z","timestamp":1777906885047,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2004,4,1]],"date-time":"2004-04-01T00:00:00Z","timestamp":1080777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2004,4]]},"abstract":"<jats:p>In developing countries, reports on adhesion intestinal obstruction in children are scanty. We report 30 children managed for adhesion intestinal obstruction during a 16-year period. The age range was 10 weeks-14 years (median 9 years). There were 24 boys and 6 girls. Postoperative adhesion was the cause in 13 (43%) patients, inflammatory in 11 (37%), and in 5 (17%) no cause could be identified. In one patient, adhesion followed missed ileal perforation from blunt abdominal trauma. Duration of symptoms was 1\u201321 days (median 4 days). Only four of the 13 patients with postoperative adhesion obstruction were managed conservatively initially, but this failed in all; one was found to have an intestinal perforation at laparotomy. The remaining nine had immediate laparotomy owing to presence of features of strangulation at presentation; two required intestinal resection for gangrene. All other patients had laparotomy soon after resuscitation. The resection rate for gangrene was 13% and 3% required closure of perforations. Postoperatively six (20%) patients developed eight infective complications. There was recurrence in three of 27 (11%) surviving patients within 3 months. Mortality was three (10%). The presentation of adhesion intestinal obstruction in children in northern Nigeria is late and morbidity and mortality are high. Early presentation should improve the outcome.<\/jats:p>","DOI":"10.1177\/004947550403400219","type":"journal-article","created":{"date-parts":[[2017,1,15]],"date-time":"2017-01-15T18:19:14Z","timestamp":1484504354000},"page":"104-106","source":"Crossref","is-referenced-by-count":3,"title":["Adhesion Intestinal Obstruction in Children in Northern Nigeria"],"prefix":"10.1177","volume":"34","author":[{"given":"E A","family":"Ameh","sequence":"first","affiliation":[{"name":"Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P T","family":"Nmadu","sequence":"additional","affiliation":[{"name":"Paediatric Surgery Unit, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,4,1]]},"reference":[{"key":"bibr1-004947550403400219","first-page":"1017","volume":"15","author":"Rao PLNG","year":"1978","journal-title":"Indian Pediatr"},{"key":"bibr2-004947550403400219","first-page":"286","volume":"71","author":"Archibong AE","year":"1994","journal-title":"East Afr Med J"},{"key":"bibr3-004947550403400219","first-page":"33","volume":"10","author":"Adejuyigbe O","year":"1989","journal-title":"Trop Gastroenterol"},{"key":"bibr4-004947550403400219","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(76)90287-6"},{"key":"bibr5-004947550403400219","first-page":"77","volume":"5","author":"Mangete EDO","year":"1993","journal-title":"Orient J Med (Nigeria)"},{"key":"bibr6-004947550403400219","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(81)80669-0"},{"key":"bibr7-004947550403400219","doi-asserted-by":"publisher","DOI":"10.1080\/02724939992356"},{"key":"bibr8-004947550403400219","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1993.tb00358.x"},{"key":"bibr9-004947550403400219","first-page":"764","volume":"73","author":"Jastainiah S","year":"1996","journal-title":"East Afr Med J"},{"key":"bibr10-004947550403400219","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(91)90422-P"},{"key":"bibr11-004947550403400219","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)80304-3"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947550403400219","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947550403400219","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:27:40Z","timestamp":1777642060000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/004947550403400219"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,4]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2004,4]]}},"alternative-id":["10.1177\/004947550403400219"],"URL":"https:\/\/doi.org\/10.1177\/004947550403400219","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,4]]}}}