eMedicine Specialties > Pediatrics: Surgery > General Surgery
Small Left Colon Syndrome: Follow-up
Updated: Sep 30, 2008
Outcome and Prognosis
Most infants completely respond to contrast enema decompression and are able to progress quite rapidly to full enteral feedings. Numerous patients who have undergone follow-up examinations of their colon have demonstrated normalization of caliber within a few weeks. In a 1975 report, Philippart et al warned of the small number of patients who experience delayed complication, either recurrent or persistent obstruction or delayed perforation, mandating close surveillance during the first week or 2 of life.2
Future and Controversies
Apart from more definitive understanding of the pathophysiology of this condition, no real areas of controversy surround the treatment of neonatal small left colon syndrome (NSLCS).
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References
Davis WS, Allen RP, Favara BE, Slovis TL. Neonatal small left colon syndrome. Am J Roentgenol Radium Ther Nucl Med. Feb 1974;120(2):322-9. [Medline].
Philippart AI, Reed JO, Georgeson KE, Slovis TL. Neonatal small left colon syndrome: intramural not intraluminal obstruction. J Pediatr Surg. Oct 1975;10(5):733-40. [Medline].
Schofield DE, Yunis EJ. Intestinal neuronal dysplasia. J Pediatr Gastroenterol Nutr. Feb 1991;12(2):182-9. [Medline].
Burge D, Drewett M. Meconium plug obstruction. Pediatr Surg Int. Feb 2004;20(2):108-10. [Medline].
Berdon WE, Slovis TL, Campbell JB, et al. Neonatal small left colon syndrome: its relationship to aganglionosis and meconium plug syndrome. Radiology. Nov 1977;125(2):457-62. [Medline].
Rangecroft L. Neonatal small left colon syndrome. Arch Dis Child. Aug 1979;54(8):635-7. [Medline].
Stewart DR, Nixon GW, Johnson DG, Condon VR. Neonatal small left colon syndrome. Ann Surg. Dec 1977;186(6):741-5. [Medline].
Woodhurst WB, Kliman MR. Neonatal small left colon syndrome: report of two cases. Am Surg. Jul 1976;42(7):479-81. [Medline].
Falterman CG, Richardson CJ. Small left colon syndrome associated with maternal ingestion of psychotropic drugs. J Pediatr. Aug 1980;97(2):308-10. [Medline].
Ellerbroek C, Smith WL. Neonatal small left colon in an infant with cystic fibrosis. Pediatr Radiol. 1986;16(2):162-3. [Medline].
Sokal MM, Koenigsberger MR, Rose JS, et al. Neonatal hypermagnesemia and the meconium-plug syndrome. N Engl J Med. Apr 13 1972;286(15):823-5. [Medline].
Swischuk LE. Meconium plug syndrome: a cause of neonatal intestinal obstruction. Am J Roentgenol Radium Ther Nucl Med. Jun 1968;103(2):339-46. [Medline].
Further Reading
Keywords
small left colon syndrome, neonatal small left colon syndrome, NSLCS, imperforate anus, colonic atresia, colonic stenosis, Hirschsprung disease, colonic obstruction, gestational diabetes mellitus, meconium plug, dysmotility syndrome, hypoglycemia, constipation, enterocolitis, infants of diabetic mothers, cystic fibrosis, eclampsia, abdominal distension, intestinal perforation
Follow-up: Small Left Colon Syndrome