scholarly journals Neonatal Sleeve Gastrectomy for Multiple Gastric Perforations: A Case Report

2016 ◽  
Vol 6 (1) ◽  
pp. 10 ◽  
Author(s):  
Francisco Reyna-Sepulveda
Keyword(s):  
Sleeve Gastrectomy ◽  
Case Report ◽  
Necrotizing Enterocolitis ◽  
Gastric Perforation ◽  
Primary Repair ◽  
Neonatal Gastric Perforation ◽  
Distal Obstruction ◽  
Greater Curvature

Neonatal gastric perforation (NGP) may be spontaneous, secondary to necrotizing enterocolitis (NEC), or due to distal obstruction. A 27-week old premature male newborn presented with pneumoperitoneum. A single perforation of stomach was found at surgery. Primary repair and gastrostomy were performed. On fifth postoperative day, pneumoperitoneum was again detected. At reoperation, multiple gastric perforations of the greater curvature were found. Sleeve gastrectomy was performed. The patient responded well to the treatment.

scholarly journals Neonatal gastric perforation: is prematurity the only cause?

2020 ◽  
Vol 7 (9) ◽  
pp. 1318
Author(s):  
Manas R. Dash ◽  
S. K. Barma ◽  
Pranay Panigrahi ◽  
P. Parida ◽  
P. K. Mohanty ◽  
...  
Keyword(s):  
Early Detection ◽  
Early Diagnosis ◽  
Gastric Perforation ◽  
Primary Repair ◽  
Surgical Care ◽  
Abdominal Distension ◽  
Anterior Wall ◽  
Care Hospital ◽  
Neonatal Gastric Perforation ◽  
Gastric Ischemia

Background: Neonatal Gastric Perforation (NGP) is a serious and life-threatening emergency and challenging in terms of diagnosis and management.  The precise aetiology remains obscure in most cases. Published literatures provide theories of gastric ischemia, aerophagia & trauma with or without definite inciting pathology.  Owing to its high mortality rate, it requires early detection & urgent intervention to bring out the newborn from this catastrophe.Methods: We report five cases of neonatal gastric perforation over period of 2013-2019 admitted to a tertiary paediatric surgical care hospital managed by early detection, prompt resuscitation along with exploration and primary repair of the defect in gastric wall.Results: The common feature in these five cases were preterm age, low birth weight, hypoxic event   and   marked abdominal distension causing respiratory distress.  Features of imminent or complete septic shock were present in all cases. Perforation was found on anterior wall along greater curvature of stomach in all babies. Four babies out of five survived except in one case of jejunoileal Artesia that developed gastric perforation in post operative period.Conclusions: Neonatal gastric perforation should be suspected in cases of rapidly deteriorating premature newborn with gross abdominal distension and pneumoperitoneum. In our opinion, etiology of NGP is multifactorial. Prematurity, low APGAR score with vigorous resuscitation could be a clue for early diagnosis. Good outcome in our series was due to early diagnosis and prompt pre and postoperative measures. Additionally, sterile gastric content in peritoneum  might lead to survival from this catastrophic event.

scholarly journals Neonatal Gastric Perforation: Smallest Baby Ever Operated and Survived: A Case Report

2018 ◽  
Vol 7 (2) ◽  
pp. 24
Author(s):  
Nikhilesh Nain ◽  
Sunil Janged
Keyword(s):  
Gastric Perforation ◽  
Partial Gastrectomy ◽  
Abdominal Distension ◽  
Operative Management ◽  
Invasive Ventilation ◽  
X Ray ◽  
Neonatal Gastric Perforation ◽  
Gastric Decompression ◽  
Greater Curvature ◽  
Prompt Diagnosis

Neonatal gastric perforation is a rare surgical emergency with no certain etiology. Due to its high mortality prompt diagnosis and emergency exploration surgery is mandatory. Hereby, we report a case of neonatal gastric perforation in a 4-day-old extreme low birth weight baby (645 g) born at 29 weeks who presented with complaints of abdominal distension, lethargy, and respiratory distress. X-ray abdomen revealed free gas under the diaphragm. Emergency surgery was performed. On exploration, a tear was seen along the greater curvature of the stomach with necrotic walls. Partial gastrectomy was done and perforation closed. Postoperatively baby was managed with invasive ventilation, IV antibiotics, parenteral nutrition, and continuous gastric decompression by nasogastric tube. Baby survived with intensive post-operative management and was discharged after 90 days of NICU stay. As far as literature is concerned this is the case of a smallest baby ever operated and survived after neonatal gastric perforation.

NEONATAL GASTRIC PERFORATION WITH SURVIVAL

PEDIATRICS ◽  
1963 ◽  
Vol 31 (1) ◽  
pp. 97-102
Author(s):  
Gerald B. Reams ◽  
James B. Dunaway ◽  
William L. Walls
Keyword(s):  
Case Report ◽  
Premature Infants ◽  
Sharp Increase ◽  
Gastric Perforation ◽  
English Literature ◽  
Clinical Signs ◽  
Abdominal Distention ◽  
Bowel Sounds ◽  
Neonatal Gastric Perforation

A case report of an infant with neonatal gastric perforation is presented, together with a review of the English literature. Almost two-thirds of cases of this condition occur in premature infants. Abdominal distention, absent bowel sounds, and dyspnea are the commonest clinical signs, each occurring in 70% or more of the cases. Seventeen of 39 reported patients who were treated surgically within 12 hours of onset of signs or symptoms survived. Operation more than 12 hours after onset has resulted in a sharp increase in mortality. No survivals have been reported without surgery.

scholarly journals Spontaneous gastric perforation: is it really common?

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Imran Hashim ◽  
Nabila Talat ◽  
Asif Iqbal ◽  
Muhammad Saleem Choudhary ◽  
Naveed Haider ◽  
...  
Keyword(s):  
Gastric Perforation ◽  
Early Recognition ◽  
Exploratory Laparotomy ◽  
Burst Abdomen ◽  
Feeding Jejunostomy ◽  
Neonatal Gastric Perforation ◽  
Threatening Condition ◽  
Life Threatening ◽  
Greater Curvature ◽  
Lesser Curvature

Abstract Background Neonatal gastric perforation (NGP) is a rare, serious, and life-threatening condition which needs early recognition with prompt intervention for better prognosis. Its etiology is not yet well established, but multiple speculations have been put forth for its etiopathogenesis. Few most considered are traumatic, spontaneous, or secondary to inflammatory process like necrotizing enterocolitis. This study describes the etiological and prognostic factors for patients with NGP in our experience at a single center. Results A total of 46 neonates were included. Male gender predominated with M:F being 1.7:1. Most (n=36) neonates presented within 10 days of life whereas 8 neonates presented within 15 days. At presentation, gas under diaphragm was the most common radiologic finding in 25 (54.3%) neonates. On exploratory laparotomy, it was found that greater curvature was involved in maximum number of cases (n=27), followed by lesser curvature and anterior and posterior walls of the stomach. Most of perforations were within 1–5 cm in size. Gastrorrhaphy was done in all cases, and in two cases, feeding jejunostomy was done along with repair for feeding purpose. Finally, spontaneous NGP was diagnosed in 30 (60.8%), and NEC patches on other parts of the intestine were seen in 11 patients. Postoperatively, 28 neonates developed complications in the form of sepsis (n=13), wound infection (n=10), and burst abdomen (n=5). Regarding clinical outcome, 27 (58.7%) were discharged from the hospital whereas 19 (39.3%) patients died. Conclusion Our results show that spontaneous NGP is most commonly associated with NEC in our population, usually affecting the greater curvature. We observed a high mortality rate; however, good ICU care may improve the survival.

Large Sealed Neonatal Gastric Perforation: A Case Report

2019 ◽  
Vol 58 (11-12) ◽  
pp. 1321-1323 ◽  
Author(s):  
Anoush Sardesai Sadat ◽  
Sundeep Payyanur Thotan ◽  
Santosh P. Prabhu ◽  
Vijay Kumar ◽  
R Ranjini
Keyword(s):  
Case Report ◽  
Gastric Perforation ◽  
Neonatal Gastric Perforation

scholarly journals Neonatal gastric perforation: A case report

2018 ◽  
Vol 81 ◽  
pp. 36-40 ◽  
Author(s):  
L.E. Cardiel-Marmolejo ◽  
A. Peña ◽  
L. Urrutia-Moya ◽  
D. Crespo-Smith ◽  
C.A. Morales-Vivas ◽  
...  
Keyword(s):  
Case Report ◽  
Gastric Perforation ◽  
Neonatal Gastric Perforation

scholarly journals Neonatal Gastric Perforation with Peritonitis- A Rare Case Report

2014 ◽  
Vol 1 (3) ◽  
pp. 80-82
Author(s):  
Dr. Vishnu Kumar Patel ◽  
◽  
Dr. APS Gaharwar ◽  
Dr. Neelesh Shrivastava ◽  
Dr. Umesh Patel ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Gastric Perforation ◽  
Neonatal Gastric Perforation ◽  
Rare Case Report

scholarly journals Neonatal Gastric Perforation - A Case Report

2015 ◽  
Vol 3 (1) ◽  
pp. 88
Author(s):  
Harsh Trivedi ◽  
Prashant Vanzar ◽  
Nirav Satasia
Keyword(s):  
Case Report ◽  
Gastric Perforation ◽  
Neonatal Gastric Perforation

scholarly journals Spontaneous Gastric Perforation in Neonates: A Tertiary Pediatric Surgical Center Experience

2019 ◽  
Vol 8 (3) ◽  
pp. 20
Author(s):  
Abdelghany EM Abdelgawad ◽  
Ahmed A Darwish ◽  
Emely Hughes ◽  
Eleri Cusick
Keyword(s):  
Gastric Perforation ◽  
Primary Repair ◽  
Ductus Arteriosus ◽  
Rare Condition ◽  
Abdominal Distension ◽  
Posterior Wall ◽  
Tertiary Hospital ◽  
Early Postoperative Period ◽  
Preterm Neonates ◽  
Greater Curvature

Objective: To report our experience with spontaneous neonatal gastric perforation (SNGP) in a tertiary hospital over the last 9 years.Methods: Retrospective review of neonates with SNGP treated in Bristol Royal Hospital for Children between January 2010 and December 2018 was performed. Data retrieved included demography, perinatal clinical details, operative data, and outcome. Cases with esophageal atresia, necrotizing enterocolitis or distal obstruction were excluded.Results: Of 13 cases, 4 were males and 9 females. Two neonates were full term; while 11 were preterm with median gestational age of 28 weeks. Abdominal distension and metabolic acidosis were mostly found in these patients. Patent ductus arteriosus was encountered in 53.8% of the patients. The most common site of perforation was the greater curvature (38.4%) followed by posterior wall (30.8%) of the stomach. Primary repair was performed in all cases. One neonate developed recurrent perforation in the early postoperative period. Five preterm (38.5%) neonates succumbed in our series.Conclusion: SNGP is a rare condition increasingly diagnosed in preterm neonates. Greater curvature and posterior wall of stomach are commonly involved. Despite recent advances in intensive care, the prognosis is still poor in preterm babies with multiple associated problems.

Sign in / Sign up

Export Citation Format

Share Document