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Congenital bowel disorders

Congenital bowel disorders. Anatomical abnormality Obstructing Atresia Stenosis Not obstructing Cysts Diverticula Fistulae Disturbance of Function Digestion and absorption Congenital enzyme deficiencies Congenital abnormalities of gut mucosa

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Congenital bowel disorders

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  1. Congenital bowel disorders • Anatomical abnormality Obstructing Atresia Stenosis Not obstructing Cysts Diverticula Fistulae • Disturbance of Function Digestion and absorption Congenital enzyme deficiencies Congenital abnormalities of gut mucosa Congenital pancreatic dysfunction Cystic Fibrosis Neuro-endocrine Motility Hirschsprung and related conditions

  2. Congenital abnormalities of the gut • With other malformations Chromosomal Syndromic • Without other malformations Teratogenic Vascular

  3. Congenital abnormalities of the gut • Overt Visible at birth Progressive lesion • Covert Not visible at birth Recurrent or intermittent Manifest by disturbance of function

  4. Congenital abnormalities of the gut • When to suspect Evident malformations Symptoms of intestinal obstruction Pre- ; peri- ; postnatal Unexplained gut malfunction Motility Digestion/Absorption

  5. Congenital malformations • In all cases Identify anatomical pattern Appropriate imaging studies Identify biochemical status Appropriate resuscitation Refer paediatric surgeon

  6. Congenital disturbance of gut function • Congenital diarrhoea Enzyme deficiency Transport defect across mucosa Dysplasia and enteropathy • Pancreatic malabsorption Cystic Fibrosis

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