‘Spontaneous’ neonatal gastric perforation: Is it really spontaneous?

Leone, Richard J.; Krasna, Irwin H.

doi:10.1053/jpsu.2000.7773

Cited by 80 publications

(79 citation statements)

References 11 publications

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“…Signs and symptoms of gastric perforation include sudden onset of abdominal distention capable of compromising ventilatory support, increased gastric residue, tenderness, lethargy, and apnea. In some cases, it is accompanied by bilious vomiting, features of sepsis, and it can progress into shock and respiratory failure [2,4]. Differential diagnoses include necrotizing enterocolitis, septicemia, intestinal obstruction, spontaneous pneumoperitoneum without gastrointestinal perforation, and others.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, few authors recommend needle decompression of the abdomen with a large IV catheter for improving respiratory and circulatory functions during the evaluation and resuscitation of the infant prior to definitive surgical intervention with prompt surgical intervention, with debridement of necrotic tissue and primary repair of the perforation [6]. A thorough examination of the stomach for a second perforation and the entire gastrointestinal tract for other unsuspected perforations or abnormalities should be carried out [4,6].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Neonatal Gastric Perforations: Are They Really Spontaneous?

Gupta

Kumar

Gupta³

et al. 2013

Indian J Surg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Neonatal Gastric Perforations: Are They Really Spontaneous?

Gupta

Kumar

Gupta³

et al. 2013

Indian J Surg

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“…Various theories have been proposed describing the etiology and prognosis but it still remains obscure [1][2][3]5]. Congenital absence of gastric musculature [6,8], high gastric acid production [9], abdominal trauma [7,10], and other associated gastrointestinal conditions like ischemic bowel, necrotising enterocolitis (NEC), intestinal malrotation, duodenal web, hiatus hernia, Meckel's diverticulum, and gastroschisis have all been proposed as possible causes of NGP [3,[11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…Various factors and theories have been proposed as a possible cause [1][2][3][4][5][6][7] but the etiology still remains obscure. Gastric perforations are often large and associated with necrosis of a significant portion of the stomach wall.…”

Section: Introductionmentioning

confidence: 99%

Neonatal Gastric Perforation: A case series

Venkataraman¹,

Vareli²,

Misra³

et al. 2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. We report a case series of three neonates diagnosed with gastric perforations in the first week of life and successfully managed by urgent surgical intervention. All three patients had associated gastrointestinal anomalies contributing to the gastric perforation. Conclusion: Neonatal gastric perforation is extremely rare and is associated with high mortality. Early diagnosis and prompt surgical intervention are essential to improve the outcomes.

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“…After the removal of the gastrostomy in the two surviving infants, a spontaneous closure of the gastric stoma occurred, and no further interventions were required. In a critical appraisal of the literature, Leone and Krasna (2000) noted that gastric perforations are rare, predominantly occur in immature infants and are associated with other contributing factors. The mortality rates from the published series fell between one-and two-thirds of patients [13].…”

Section: Discussionmentioning

confidence: 99%

Emergency Surgical Intervention by Mobile Surgical Team in the NICU

Tröbs¹,

Stein²,

Felderhoff³

et al. 2014

OJPed

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The objective of this study was to describe our NICU's (neonatal intensive care unit) experience with mobile surgical team and to demonstrate its effectiveness. Method: We analyzed the data of 17 consecutive very low birth weight and extremely low birth weight infants over 3 years who underwent 22 procedures (19 emergency and 3 elective). The gestational age at birth was a median of 25 weeks (range 24 -39), and the median birth weight was 613 g (range from 340 g to 1100 g). The infants received their operations during their first 2 weeks of life (median 7 days, range from 1 to 14). Results: The spectrum of primary surgical diagnoses included spontaneous intestinal perforations (n = 8), gastric perforations (n = 3), necrotizing enterocolitis (n = 2), meconium ileus (n = 2), and miscellaneous (n = 2). An emergency laparotomy with either a bowel or a gastric procedure was performed in 16 cases. Postoperatively, all infants required mechanical ventilation from 1 to 43 days (median 6.5 days). Complications included a metachronous small bowel perforation, an ileostomy retraction, a prolapsed stoma, and impaired wound healing; we had one postoperative death. Two infants died later in the NICU (mortality 3 of 16; 19%). Conclusion: Off-site surgery for preterm infants in the NICU is feasible. This approach prevents the risks of transportation, and parents and neonatologists alike feel comfortable with this regimen. However, biases may exist regarding the surgeon's decision to operate, the choice of procedure, and the follow-up.

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‘Spontaneous’ neonatal gastric perforation: Is it really spontaneous?

Cited by 80 publications

References 11 publications

Neonatal Gastric Perforations: Are They Really Spontaneous?

Neonatal Gastric Perforations: Are They Really Spontaneous?

Neonatal Gastric Perforation: A case series

Emergency Surgical Intervention by Mobile Surgical Team in the NICU

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