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Clinical implication of spontaneous gastrointestinal perforation in pediatric patients: its difference according to

Young-Jin Choi1, Yong-Hoon Cho1,2, Soo-Hong Kim1

  • 1Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.

Annals of Surgical Treatment and Research
|September 6, 2018
PubMed

Insights

Spontaneous gastrointestinal perforations (SGIPs) in children show varied features by age, with neonates having more stomach and small intestine issues. Prompt treatment is key for good outcomes in all pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Medicine

Background:

  • Spontaneous gastrointestinal perforations (SGIPs) are rare in children.
  • Understanding age-specific patterns is crucial for effective management.

Purpose of the Study:

  • To define age-specific features of SGIPs in pediatric patients.
  • To compare clinical characteristics between neonates and older children.

Main Methods:

  • Retrospective review of surgical cases of SGIPs in children.
  • Comparison of patient characteristics between neonates (Group A) and beyond neonates (Group B).

Main Results:

  • SGIPs occurred in the stomach, small intestine, and large intestine.
  • Neonates had more stomach/small intestine perforations, while older children had more large intestine perforations (P=0.01).
  • Overall mortality was 15.4%, with no significant difference based on age or perforation site.

Conclusions:

  • Pediatric SGIPs present diverse features and age-related perforation patterns.
  • Prompt recognition, resuscitation, and surgery are vital for favorable outcomes.
  • Age group did not significantly impact mortality rates.
Abstract

Keywords:
AgeGastrointestinalPediatricPerforation

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