Context: Intestinal obstruction is one of the commonest diagnoses at admission in a neonatal surgical unit. The aim was to study various types of neonatal intestinal obstruction to determine pattern of presentation, diagnosis and their outcomes excluding anorectal malformation. Materials and Methods: This retrospective study was conducted from January 2012 to January 2013. Data were collected from hospital records and analyzed for age, sex, religion, demographic location, birth history, mother’s age, birth weight at admission, the maturity of neonates, the age of presentation, spectrum of anomalies, associated anomalies, types of operation and their outcomes. Results: Out of 150 neonates admitted under surgical care, 150 neonatal intestinal obstructions were operated. Most common was Hirschsprung’s disease 42(28%), followed by meconium ileus 26(17.3%), jejunoileal atresia 20(13.3%), malrotation of gut 18(12%), duodenal atresia 9(6%), idiopathic pyloric stenosis 9(6%), necrotizing enterocolitis 13(8.67%) and others 13(8.67%). Survival rate among them were in, idiopathic hypertrophic pyloric stenosis 100%, Hirschsprung’s disease 86%, meconium ileus 85%, malrotation of gut 79%, duodenal atresia 66.6% and necrotizing enterocolitis 66%. Among them highest death incidence were found in duodenal atresia 33%, necrotizing enterocolitis 33% whereas least in idiopathic pyloric stenosis, meconium ileus, jejunoileal atresia and malrotation of gut. Conclusions: Neonatal surgical outcome depend on many factors, it require dedicated surgical care as well as supportive infrastructure and manpower, early diagnosis and intervention are the crucial factors in improving operative outcome in neonatal surgery.

Keywords: Neonates; Intestinal obstruction; surgery; outcomes.