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DIGESTIVE SYSTEM
DISORDERS OF NEWBORN
INTRODUCTION
 Meconium plug syndrome refers to a functional
colonic obstruction in a newborn due to an
obstructing meconium plug. It is usually transient
and affects the left colon with meconium plugging
the bowel distal to this segment. In this situation, it
is also termed the small left colon syndrome.
MECONIUM PERITONITIS
 Meconium peritonitis refers to rupture of
the bowel prior to birth, resulting in fetal stool
(meconium) escaping into the surrounding space
(peritoneum) leading to inflammation (peritonitis).
DIAGNOSIS
 Twenty percent of infants born with meconium
peritonitis will have vomiting and dilated bowels
on x-rays which necessitates surgery.
 Meconium peritonitis is sometimes diagnosed on
prenatal ultrasound where it appears as
calcifications within the peritoneum.
 Neonatal hematemesis and melena due to swallowed
maternal period-P78.2
 Noninfective neonatal diarrhea-P78.3
 Congenital cirrhosis-P78.81
 Peptic ulcer of newborn-P78.82
 New born esophageal reflux-P78.83
 Necrotizing enterocolitis of newborn classified into
stages-P77
 Stage-1 necrotizing enterocolitis in newborn
 Stage-2 necrotizing enterocolitis in newborn
 Stage-3 necrotizing enterocolitis in newborn
ICD-10-CM GUIDELINES
 Other intestinal obstruction of newborn-P76
 Necrotizing enterocolitis of newborn- P77
 Other perinatal digestive system disorders-P78
 https://www.medesunglobal.com
THANK
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Digestive system disorders of newborn

  • 2. INTRODUCTION  Meconium plug syndrome refers to a functional colonic obstruction in a newborn due to an obstructing meconium plug. It is usually transient and affects the left colon with meconium plugging the bowel distal to this segment. In this situation, it is also termed the small left colon syndrome.
  • 3. MECONIUM PERITONITIS  Meconium peritonitis refers to rupture of the bowel prior to birth, resulting in fetal stool (meconium) escaping into the surrounding space (peritoneum) leading to inflammation (peritonitis).
  • 4. DIAGNOSIS  Twenty percent of infants born with meconium peritonitis will have vomiting and dilated bowels on x-rays which necessitates surgery.  Meconium peritonitis is sometimes diagnosed on prenatal ultrasound where it appears as calcifications within the peritoneum.
  • 5.  Neonatal hematemesis and melena due to swallowed maternal period-P78.2  Noninfective neonatal diarrhea-P78.3  Congenital cirrhosis-P78.81  Peptic ulcer of newborn-P78.82  New born esophageal reflux-P78.83
  • 6.  Necrotizing enterocolitis of newborn classified into stages-P77  Stage-1 necrotizing enterocolitis in newborn  Stage-2 necrotizing enterocolitis in newborn  Stage-3 necrotizing enterocolitis in newborn
  • 7. ICD-10-CM GUIDELINES  Other intestinal obstruction of newborn-P76  Necrotizing enterocolitis of newborn- P77  Other perinatal digestive system disorders-P78  https://www.medesunglobal.com