Neonatal gastric perforation.
East Afr Med J
; 81(1): 56-8, 2004 Jan.
Article
en En
| MEDLINE
| ID: mdl-15080518
ABSTRACT
BACKGROUND:
Gastric perforation in neonates is a catastrophe associated with high morbidity. Most are due to underlying primary pathology.OBJECTIVES:
To review the management of gastric perforation in neonates in Kwa Zulu-Natal, South Africa.DESIGN:
Retrospective study of consecutive complete data sets of neonates presenting with gastric perforation.SETTING:
Department of Paediatric Surgery, Nelson R. Mandela School of Medicine, University of Natal, Durban, South Africa.SUBJECTS:
Eight neonates treated for gastric perforation between January 1998 and April 2003. MAIN OUTCOMEMEASURES:
Morbidity and mortality.RESULTS:
There was an equal number of males and females. Median birth weight was 2.0 kg with a range of 1.4 to 3.2 kg. Five of the eight neonates were premature. Primary pathologies were associated with perforation in seven of the eight neonates. Prematurity, low birth weight and pneumonia were contributing factors to the poor outcome. Sepsis was a complication in seven of the eight neonates leading to their death (88% mortality).CONCLUSION:
Active perinatal management, early treatment of primary pathologies, and protection of the stomach against distension in neonates at risk are essential in the management of neonatal gastric perforation.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Estómago
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
/
Newborn
País/Región como asunto:
Africa
Idioma:
En
Revista:
East Afr Med J
Año:
2004
Tipo del documento:
Article
País de afiliación:
Kenia