Acute gastric dilatation in neglected children

Franken, E. A.; Fox, Melanie J.; Smith, John W.; Smith, W. L.

doi:10.2214/ajr.130.2.297

Cited by 17 publications

(4 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…24 Gastrointestinal dysmotility and atrophy impair absorption of food and nutrients. 25 Color and texture changes of hair, skin, and nails result from sustained protein deficiency. 14 Anemia and hypoproteinemia also occur because of inadequate nutrient intake.…”

Section: Discussionmentioning

confidence: 99%

Criminally Prosecuted Cases of Child Starvation

Kellogg

Lukefahr

2005

Pediatrics

View full text Add to dashboard Cite

Life-threatening criminal starvation of infants and children is a rare and severe form of child maltreatment. In our series, infants were more wasted at the time of presentation and less likely to survive prolonged starvation than were older children. As with other forms of child abuse, caretakers' histories regarding the children's illnesses were inconsistent with the severity and chronicity of the children's degree of wasting. All victims in our series showed multiorgan effects of chronic malnutrition and deprivation, and all survivors developed refeeding complications and required prolonged periods of recovery.

show abstract

Section: Discussionmentioning

confidence: 99%

Criminally Prosecuted Cases of Child Starvation

Kellogg

Lukefahr

2005

Pediatrics

View full text Add to dashboard Cite

show abstract

“…Kasenally et al described acute gastric dilatation in two children with blunt abdominal traumas suffered as a result of road accidents [3]. Franken et al and Saul et al published 5 clinical cases of gastric dilatation in the children with anorexia nervosa malnourished for a long period of time after intake of a large amount of food each [4,5]. Wani et al described a 13-year-old girl with acute gastric dilatation caused by blunt abdominal trauma [6].…”

Section: Diagnosis and Discussionmentioning

confidence: 99%

Acute Gastric Dilatation in Children

Дьяконова¹,

Бекин²,

Поддубный³

et al. 2014

Pediatr. farmakol.

View full text Add to dashboard Cite

Acute gastric dilatation is a rare surgical condition in children, which often results from blunt abdominal trauma. This condition is characterized by the gut-brain connection disorder or gastric muscular layer damage, which results in atony. Gradual gastric stretching with fluid contents and gases in the end leads to the development of various types of intestinal obstruction. When conservative measures are not sufficient (in rare cases), it is reasonable to resort to operative intervention. Several cases of such a pathology have been published around the world. This condition has been observed not only at the blunt abdominal trauma, but also at lesions of central and peripheral nervous systems and in patients with anorexia nervosa and bulimia in the event of excessive food consumption. The article presents a clinical case study and a follow-up analysis of a child with posttraumatic acute gastric dilatation. The authors describe clinical manifestations, pathogenesis and diagnostic algorithm, which allowed establishing this rare diagnosis. Along with the conventional drugs and intensive care measures, the treatment involved a complex of mini-invasive endosurgical and endoscopic manipulations, including laparoscopic jejunostomy, which was performed in order to provide long-term enteral feeding. The clinical case study demonstrated that the use of diagnostic laparoscopy helps to establish nature of the gastric damage correctly and formulate the following optimal treatment tactics on the basis of the obtained data.

show abstract

“…[45] There are numerous other causes of acute gastric distention, including resumption of feeding after starvation, diabetes mellitus, bezoars, gastrointestinal tumors, superior mesenteric artery syndrome, ulcers, tumors, gastric volvulus, annular pancreas, gastroduodenal tuberculosis, gastroduodenal Crohn’s disease, etc. [7–10] Patients with anorexia nervosa and bulimia nervosa, approximately 60% of whom will have gastric dysmotility, are at increased risk for acute gastric dilatation due to decreased gastric motility, increased gastric capacity, and decreased gastric emptying. [211] Even years after the cessation of anorexia nervosa, patients may still have gastric dysmotility, predisposing any patient with a history of an eating disorder to acute gastric dilatation.…”

Section: Discussionmentioning

confidence: 99%

Acute gastric dilatation in a patient with anorexia nervosa binge/purge subtype

Tweed-Kent

Fagenholz

Alam

2010

J Emerg Trauma Shock

View full text Add to dashboard Cite

Acute gastric dilatation is a rare complication of anorexia nervosa binge/purge subtype that results from gastrointestinal abnormalities, including decreased gastric motility and delayed gastric emptying. Early diagnosis and intervention is critical since delay may result in gastric necrosis, perforation, shock, and death. We report a 26-year-old female with anorexia nervosa binge/purge subtype, who presented with abdominal pain and nausea after a binge episode. Abdominal radiography and computed tomography showed a grossly dilated stomach measuring 32 cm × 17.9 cm consistent with acute gastric dilatation. She underwent exploratory laparotomy with gastrotomy and gastric decompression, and recovered uneventfully. Initially, the patient denied the binge episode, as many patients with eating disorders do, but later revealed an extensive history of anorexia nervosa binge/purge subtype. This case stresses the importance of obtaining a thorough history of eating disorders and maintaining a high index of suspicion for acute gastric dilatation in young women who present with abdominal pain and distention.

show abstract

Acute gastric dilatation in neglected children

Cited by 17 publications

References 16 publications

Criminally Prosecuted Cases of Child Starvation

Criminally Prosecuted Cases of Child Starvation

Acute Gastric Dilatation in Children

Acute gastric dilatation in a patient with anorexia nervosa binge/purge subtype

Contact Info

Product

Resources

About