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[Total gastrectomy in newborn infant].

F Barrera1, M J Rebollo, S Aros

  • 1Servicio de Pediatría, Hospital Clínico San Borja, Afriarán.

Revista Chilena De Pediatria
|July 1, 1991
PubMed
Summary
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Total gastrectomy in children presents significant nutritional challenges. This case highlights successful management of severe malnutrition following gastric resection through combined nutritional support and prophylactic measures.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Nutritional Support

Background:

  • Total gastrectomy is a rare but complex procedure in pediatric patients.
  • It often leads to significant nutritional and metabolic complications requiring specialized management.

Observation:

  • A 15-month-old patient underwent total gastric resection with esophagojejunal anastomosis and splenectomy due to complications from a previous surgery.
  • The patient developed severe calorie-protein malnutrition (Weight-for-Age 60%, Weight-for-Height 68%) requiring intensive nutritional intervention.

Findings:

  • Combined parenteral and enteral nutrition (via central venous catheter and jejunostomy tube) was administered for 15 and 35 days, respectively.
  • Nutritional support included vitamin B12, iron, and oral vitamins, leading to improved weight gain (16g/day) and nutritional status (W/A 68%, W/H 74%).

Related Experiment Videos

  • Prophylaxis against Streptococcus pneumoniae infections was initiated with monthly benzathine penicillin.

    • Implications:

    • Meticulous physiological and nutritional management is crucial for favorable outcomes in children undergoing total gastrectomy.
    • Early and aggressive nutritional support can effectively reverse severe malnutrition post-gastric resection.
    • This case underscores the importance of a multidisciplinary approach in managing complex pediatric surgical cases.