Document Detail

Etiology of neonatal gastric perforation: a review of 20 years' experience.
MedLine Citation:
PMID:  22009207     Owner:  NLM     Status:  Publisher    
PURPOSE: Gastric perforation (GP) of the newborn is a rare, serious, and life-threatening problem, and its etiology remains unclear. Although historically GP has often been described as "spontaneous'', some cases are non-spontaneous. The aim of the present study was to review cases of GP and to discuss its etiology in a single prefecture in Japan over a period of 20 years. METHODS: Eleven cases with GP that underwent surgery in 4 institutions in the Chiba Prefecture from 1991 to 2010 were reviewed and divided into 2 groups: the early (1991-2000, n = 7) and late (2001-2010, n = 4) groups. RESULTS: No factors were observed that could have caused GP other than malformations associated with distal obstruction (3 midgut volvulus, 1 jejunal stenosis, 1 diaphragm eventration). Distal obstruction was present in 1 case in the early group and all 4 cases in the late group (p = 0.015). While the incidence of GP did not change over the 20-year period reviewed, the incidence of GP without distal obstruction significantly decreased in the late group. CONCLUSION: The proportion of patients with GP and distal obstruction increased and true "spontaneous" cases of GP decreased over time. The possible presence of distal obstruction should be evaluated during surgery for GP.
Keita Terui; Jun Iwai; Shin-Ichi Yamada; Ayako Takenouchi; Mitsuyuki Nakata; Shugo Komatsu; Hideo Yoshida
Related Documents :
22960467 - Iliopsoas abscess - a review and update on the literature.
17302577 - Aspergillosis of the scrotum: non-surgical management.
20913547 - Yellow fever, as seen by the medical officers of the royal navy in the nineteenth century.
6785687 - Surgical case review: rationale and methods.
16707367 - Prostate-specific antigen, high-molecular-weight cytokeratin (clone 34betae12), and/or ...
16528157 - Endoscopic extruded screw removal after anterior cervical disc fusion: technical case r...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-19
Journal Detail:
Title:  Pediatric surgery international     Volume:  -     ISSN:  1437-9813     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Pediatric Surgery, Matsudo City Hospital Children's Medical Center, 4005 Kamihongo, Matsudo, Chiba, 271-8511, Japan,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Congenital brachioesophagus with secondary intrathoracic stomach associated with rachischisis descri...
Next Document:  The efficacy of slide tracheoplasty in a growing rabbit model.