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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 2 No. 2 (2011)

Decreased Morbidity and Mortality from Intestinal Ascariasis: Experience of a Single Center

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2011
CONTENTSVolume 02Number 2July 2011
Editorial
Laparoscopy in Children, A Brief Outline and Bangladesh Perspective
Md. Jafrul Hannan
42
Original Articles
Outcome of Vesiciureteric Reflux After Primary Fulguration of Posterior Urethral Valves
M. M. Masud Pervez, Kaniz Hasina, Md. Ashraf Ul Huq, Md. Nooruzzaman, Abdul Hanif
46
Post A-H Pyeloplasty Analysis of Renal Function in Unilateral Hydronephrosis Due to Congenital Pelviureteric Junction Obstruction
Nandan Kumar Majumder, Md. Ruhul Amin, Rajib Khastgir, Mizanur Rahman, Md. Abu Bakar Akan
53
Assesment of The Effect of Multimodal Preemptive Analgesia in Children
Md. Nooruzzaman, MM Masud Pervez, Md. Abu Bakar Akan, M Anisuzzaman, Md. Nazrul Islam, AM Shahinoor
56
Early Post-operative Outcome of Primary Repair of Bladder Exstrophy With or Without Osteotomy
S. M. Borhan Uddin, Md. Abu Bakar Akan, Rajib Khastgir, Md. Ruhul Amin
63
Evaluation of Congenital Upper Urinary Tract Anomalies in Hypospadias
Md. Abdullah Al Farooq, Shafiqul Hoque
68
Decreased Morbidity and Mortality from Intestinal Ascariasis: Experience of a Single Center
Md. Akbar Hossain Bhuyian, Md. Abdullah Al Farooq, Md. Minhajuddin Sajid, MA Mushfiqur Rahman, Md. Momtazul Hoque, Khurshid Alam Sarwar, Tanvir Kabir Chowdhury, Mahfuzul Kabir, Tahmina Banu
73
Case Reports
Desmoplastic Small Round Cell Tumour (DSRCT) - A Case Report and Review of Literature
AKM Amirul Morshed, Farhana Afroz, Chowdhury Md. Fuad Galib, Shahnoor Islam, Kaniz Hasina, Ashish Kumar Ghosh
79
Spontaneous Common Bile Duct Perforation on The Background of Pancreatic Lithiasis: A Case Report and The Review of The Literatures
Md. Abdullah Al Farooq, M A Mushfiqur Rahman, Mahfuzul Kabir, Md. Akbar Husain Bhuiyan, Md. Minhajuddin Sajid, Rupam Talukder, Tanvir Kabir Chowdhury, Tahmina Banu
83
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md. Akbar Hossain BhuyianDepartment of Pediatric Surgery, Chittagong Medical College, Chittagong
  • Md. Abdullah Al FarooqDepartment of Pediatric Surgery, Chittagong Medical College, Chittagong
  • Md. Minhajuddin SajidDepartment of Pediatric Surgery, Chittagong Medical College, Chittagong
  • MA Mushfiqur RahmanDepartment of Pediatric Surgery, Chittagong Medical College, Chittagong
  • Md. Momtazul HoqueDepartment of Pediatric Surgery, Chittagong Medical College, Chittagong
  • Khurshid Alam SarwarDepartment of Pediatric Surgery, Chittagong Medical College, Chittagong
  • Tanvir Kabir ChowdhuryDepartment of Pediatric Surgery, Chittagong Medical College, Chittagong
  • Mahfuzul KabirDepartment of Pediatric Surgery, Chittagong Medical College, Chittagong
  • Tahmina BanuDepartment of Pediatric Surgery, Chittagong Medical College, Chittagong

Keywords

Ascariasis Intestinal obstruction Biliary Ascariasis

Abstract

Background: Ascariasis is a common gastrointestinal infestation worldwide. It affects more children who live in poor hygenic condition. Pediatric surgeons are supposed to manage related surgical complications of ascariasis. Objective: To evaluate the recent pattern of occurrence of intestinal and biliary ascariasis with morbidity and mortality related to it. Materials and Methods: Study design: Retrospective study. Period of study: Study was conducted between Jan 2006 - Dec 2011 (total 06 years). Place of study: This study was carried out in the department of Pediatric Surgery, Chittagong Medical College Hospital (CMCH), Chittagong; Bangladesh. Study Subjects: Patients admitted and diagnosed as intestinal (1591) and biliary (181) ascariasis in the department of Pediatric surgery, CMCH were evaluated. Results: A total of 1772 patients were admitted with surgical complication of ascariasis. Among them 1591 (89.78%) patients were diagnosed as intestinal ascariasis and 181 (10.22%) patients as biliary ascariasis. Age range was 6 months to 12 years with mean age of 6 years for intestinal ascariasis. Biliary ascariasis presented between 3 years to 12 years with mean age of 7 years. Male (1060) suffered more than female (531). Male to female ratio was 2:1 for intestinal ascariasis while females (120) suffered more than male (61) in biliary ascariasis (ratio 2:1). Total 231 surgery both elective and emergencies were done. Discussion: Most of the patients (52–81%) were treated by endoscopic removal of worm from common bile duct. Some patients (15–31%) were treated successfully by conserevative approach. Only a few patients needed open surgical procedure. No patient had died from biliary ascariasis and death from complications of intestinal ascariasis reduced from 20% to 4% over the last 6 years. Conclusion: There has been a reduced number of disease burden over the last few years from ascariatic and biliary ascariasis.

Journal of Paediatric Surgeons of Bangladesh (2011) Vol. 2 (2): 73–78

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