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학습 자료 둘러보기 →Imperforate anus is a complete mechanical bowel obstruction. The newborn cannot pass meconium. The immediate priority is to keep the bowel decompressed by maintaining NPO status and inserting a nasogastric tube if ordered.
A prompt pediatric surgical consultation is essential. Definitive management requires operative correction, which may involve a staged approach with an initial enterostomy in the neonatal period.
Never attempt digital rectal stimulation or insert a suppository. This can cause tissue trauma and will not relieve the obstruction. Do not initiate feedings, as this increases intraluminal pressure and the risk of aspiration and bowel perforation.
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