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[Stomach perforation in the neonatal period and in children]
1Klinik für Kinderchirurgie, Bezirkskrankenhauses Schwerin.
Zentralblatt Fur Chirurgie
|January 1, 1990
Insights
Gastric perforations are the most common upper gastrointestinal perforations in infants and children, often occurring in the stomach
Area of Science:
- Pediatric Surgery
- Gastrointestinal Medicine
- Neonatal Care
Context:
- Upper gastrointestinal perforations are critical surgical emergencies in neonates and children.
- Gastric perforations represent the predominant type within this demographic.
- Understanding the etiology and location is crucial for timely intervention.
Purpose:
- To analyze the prevalence and characteristics of gastric perforations in pediatric patients.
- To identify the primary etiological factors, particularly mechanical ones, in non-peptic ulcer cases.
- To determine factors influencing mortality in infants and children with gastric perforations.
Summary:
- Gastric perforations are the most frequent upper gastrointestinal perforations observed in pediatric populations.
- Mechanical factors are the main cause of gastric perforations, predominantly in the upper stomach, excluding peptic ulcers.
- Mortality rates are significantly influenced by prematurity, co-existing injuries, and underlying medical conditions.
Impact:
- Provides essential data for surgical planning and management of pediatric gastric perforations.
- Highlights the importance of considering mechanical causes in the upper stomach.
- Informs prognosis and emphasizes the need for comprehensive care addressing prematurity and comorbidities.
Abstract:
Among the upper gastrointestinal tract perforations in infants and children, the gastric perforations were predominating. With exception of peptic ulcers, localization was found mainly in the upper parts of the stomach regarding to mechanical originating factors. Mortality depends on prematurity and additional injuries as well as the basic disorders.