Treatment of intestinal perforation in extremely low-birthweight infants

2005 ◽  
Vol 47 (4) ◽  
pp. 404-408 ◽  
Author(s):  
Akihiro Kawakami ◽  
Yoshitsugu Shirakawa ◽  
Akira Shirahata ◽  
Kouichi Yano ◽  
Masaru Morita ◽  
...  
Keyword(s):  
Intestinal Perforation ◽  
Low Birthweight ◽  
Extremely Low Birthweight

Segmental absence of intestinal musculature in an extremely low birthweight preterm infant

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Joana Matias ◽  
Maria Cabral ◽  
Luísa Carmona ◽  
Margarida Cabral ◽  
João Franco
Keyword(s):  
Intestinal Perforation ◽  
Low Birthweight ◽  
Histopathological Examination ◽  
Muscularis Propria ◽  
Rare Condition ◽  
Emergency Laparotomy ◽  
Distended Bowel ◽  
Very Low Birthweight Infants ◽  
Intestinal Musculature ◽  
Extremely Low Birthweight

Abstract Background The segmental absence of intestinal musculature is a rare clinical entity, usually manifested in the neonatal period. It is more frequent in preterm infants, particularly in very low birthweight infants. Typically, there are intestinal perforation or intestinal obstruction symptoms. Case presentation The authors report a case of a 30-week-gestational age extremely low birthweight newborn who presented, on the fourth day of life, with a progressively acute abdomen and radiological findings suggestive of intestinal perforation. An emergency laparotomy with segmental ileal resection was performed; intestinal perforation was not confirmed. The histopathological examination of the resected distended bowel revealed an area of severe hypoplastic muscularis propria (with remaining layers intact). Conclusion Preoperative diagnosis of segmental absence of intestinal musculature is extremely difficult; its definitive diagnosis relies solely on the histopathological examination. The clinicians and pathologists should be aware of this rare condition, the treatment and prognosis of which differs from the more common necrotising enterocolitis.

Parenteral-nutrition-associated liver disease after intestinal perforation in extremely low-birthweight infants: Consequent lethal portal hypertension

2013 ◽  
Vol 55 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Akio Kubota ◽  
Narutaka Mochizuki ◽  
Jun Shiraishi ◽  
Masahiro Nakayama ◽  
Hisayoshi Kawahara ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Liver Disease ◽  
Parenteral Nutrition ◽  
Intestinal Perforation ◽  
Low Birthweight ◽  
Extremely Low Birthweight

scholarly journals Initial Laparotomy Versus Peritoneal Drainage in Extremely Low Birthweight Infants With Surgical Necrotizing Enterocolitis or Isolated Intestinal Perforation

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Martin L. Blakely ◽  
Jon E. Tyson ◽  
Kevin P. Lally ◽  
Susan R. Hintz ◽  
Barry Eggleston ◽  
...  
Keyword(s):  
Necrotizing Enterocolitis ◽  
Intestinal Perforation ◽  
Low Birthweight ◽  
Peritoneal Drainage ◽  
Extremely Low Birthweight

Provision of perinatal services and survival of extremely low birthweight infants in Victoria

1983 ◽  
Vol 2 (7) ◽  
pp. 314-318 ◽  
Author(s):  
William H. Kitchen ◽  
Laurence J. Murton ◽  
Robert N. D. Roy ◽  
Neil Campbell ◽  
John H. Drew ◽  
...  
Keyword(s):  
Low Birthweight ◽  
Perinatal Services ◽  
Extremely Low Birthweight

scholarly journals Unprecedented reduction in births of very low birthweight (VLBW) and extremely low birthweight (ELBW) infants during the COVID-19 lockdown in Ireland: a ‘natural experiment’ allowing analysis of data from the prior two decades

2020 ◽  
Vol 5 (9) ◽  
pp. e003075 ◽  
Author(s):  
Roy K Philip ◽  
Helen Purtill ◽  
Elizabeth Reidy ◽  
Mandy Daly ◽  
Mendinaro Imcha ◽  
...  
Keyword(s):  
Poisson Regression ◽  
Rate Ratio ◽  
Neonatal Intensive Care ◽  
Low Birthweight ◽  
Well Being ◽  
Very Low Birthweight ◽  
Live Births ◽  
Regional Trends ◽  
Extremely Low Birthweight ◽  
Health And Well Being

BackgroundAetiology of births involving very low birthweight (VLBW) and extremely low birthweight (ELBW) infants is heterogeneous and preventive strategies remain elusive. Socioenvironmental measures implemented as Ireland’s response to the SARS-CoV-2 virus (COVID-19) pandemic represented a national lockdown, and have possibly influenced the health and well-being of pregnant women and unborn infants.MethodsRegional trends of VLBW and ELBW infants in one designated health area of Ireland over two decades were analysed. Poisson regression and rate ratio analyses with 95% CI were conducted. Regional data covering most of the lockdown period of 2020 were compared with historical regional and national data and forecasted national figures for 2020.ResultsPoisson regression analysis found that the regional historical VLBW rate per 1000 live births for January to April, 2001–2019 was 8.18 (95% CI 7.21 to 9.29). During January to April 2020, an unusually low VLBW rate of just 2.17 per 1000 live births was observed, reflecting a rate ratio of 3.77 (95% CI 1.21 to 11.75), p=0.022, representing a 73% reduction of VLBW during the first 4 months of 2020 compared with same period for the preceding two decades. There were no ELBW infants admitted to the regional neonatal intensive care unit. National Irish VLBW rate for 2020 is forecasted to be reduced to approximate 400 per 60 000 births compared with the historical 500–600 range.ConclusionAn unprecedented reduction in regional births of VLBW and ELBW infants was observed in Ireland coinciding with the COVID-19 lockdown. Potential determinants of this unique temporal trend possibly reside in the summative socioenvironmental impact of the COVID-19 lockdown. Our findings, if mirrored in other regions that have adopted a lockdown, demonstrate the potential to evaluate these implicated behavioural and socioenvironmental modifiers to positively influence VLBW and ELBW rates globally.

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