“…3 is a proposed strategy of the management of patients with suspected EG or GE. The algorithm begins when a patient presents with gastrointestinal symptoms [44] Exploratory laparotomy, biopsy of mass Gastric cancer Alive Kowal et al [45] No Small bowel obstruction secondary to tumor Alive Kussin et al [1] No Obstructing carcinoid tumor at antrum Dead (different etiology) Vade et al [46] No Gastrostomy malposition Alive Lee et al [6] Small bowel resection Gastric distension secondary to small bowel volvulus Alive Agha [46] Revision gastrostomy/No/ No Gastrostomy tube malposition/ruptured alveoli/obstructive gastric adenocarcinoma Alive/dead (different etiology)/dead (different etiology) Martin et al [48] Gastroenterostomy, cholecystojejunostomy…”
Prompt surgical intervention is more commonly indicated for severe EG and is directed at removal of the septic organ, while the primary indication for surgical intervention in GE is the uncertainty of the diagnosis.
“…3 is a proposed strategy of the management of patients with suspected EG or GE. The algorithm begins when a patient presents with gastrointestinal symptoms [44] Exploratory laparotomy, biopsy of mass Gastric cancer Alive Kowal et al [45] No Small bowel obstruction secondary to tumor Alive Kussin et al [1] No Obstructing carcinoid tumor at antrum Dead (different etiology) Vade et al [46] No Gastrostomy malposition Alive Lee et al [6] Small bowel resection Gastric distension secondary to small bowel volvulus Alive Agha [46] Revision gastrostomy/No/ No Gastrostomy tube malposition/ruptured alveoli/obstructive gastric adenocarcinoma Alive/dead (different etiology)/dead (different etiology) Martin et al [48] Gastroenterostomy, cholecystojejunostomy…”
Prompt surgical intervention is more commonly indicated for severe EG and is directed at removal of the septic organ, while the primary indication for surgical intervention in GE is the uncertainty of the diagnosis.
The presence of gas in the wall of the stomach in a child is a rare condition and usually indicates necrotising enterocolitis. We report a case of gastric emphysema in a 20-day-old baby girl with duodenal obstruction due to a congenital duodenal diaphragm. This association is extremely rare and has been described only once in the literature.
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