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[Pneumatosis intestinalis in 9 children with an oncologic disease]

H A C Kyrieleis1, M E F Wilsterman, R S V M Severijnen

  • 1Afd. Kindergeneeskunde, Universitair Medisch Centrum St Radboud, Postbus 910o, 6500 HB Nijmegen. h.kyrieleis@cukz.umcn.nl

Nederlands Tijdschrift Voor Geneeskunde
|April 9, 2005
PubMed

Insights

Pneumatosis intestinalis (PI) in children with cancer is usually self-limiting. Supportive care is effective, and surgery is generally not needed unless an acute abdomen is present.

Area of Science:

  • Pediatric Oncology
  • Gastroenterology

Context:

  • Pneumatosis intestinalis (PI) is a rare condition.
  • Children undergoing treatment for malignant diseases are at risk.
  • Understanding PI in this population is crucial for appropriate management.

Purpose:

  • To investigate the characteristics of pneumatosis intestinalis (PI) in pediatric oncology patients.
  • To gather data on symptomatology, diagnostics, treatment, and prognosis of PI in this cohort.

Summary:

  • A retrospective review of 9 children diagnosed with PI between 1998-1999 was conducted.
  • Patients had acute lymphocytic leukemia or stage IV neuroblastoma.
  • Symptoms were nonspecific; PI was confined to the colon. All patients recovered with supportive care, including gastric suctioning, parenteral nutrition, and antibiotics.

Impact:

  • Pneumatosis intestinalis in children with cancer is typically self-limiting with supportive care.
  • Pneumoperitoneum does not necessitate surgery unless an acute abdomen is present.
  • Chemotherapy can often be continued during PI management.
Abstract

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