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Lactobezoar in prematurity. A case with prolonged resolution

V Tolia, R S Dubois

    Clinical Pediatrics
    |October 1, 1981
    PubMed
    Summary
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    Lactobezoar, a mass of undigested milk curds, typically resolves in premature infants with standard treatment. This case highlights a premature infant who did not respond to conventional therapy for gastric lactobezoar.

    Area of Science:

    • Neonatalogy
    • Pediatric Gastroenterology

    Background:

    • Lactobezoar is a gastrointestinal foreign body formed from undigested milk curds.
    • It commonly affects low-birth-weight, premature infants receiving 24-calorie formulas.

    Observation:

    • A premature, small for gestational age infant developed a gastric lactobezoar.
    • The infant was fed a 24-calorie formula.

    Findings:

    • Conventional therapy, including feeding cessation and gastric lavage, was ineffective for over a week.
    • This case presented a treatment-resistant gastric lactobezoar.

    Implications:

    • Suggests the need for alternative or modified treatment strategies for refractory lactobezoar cases.
    • Highlights the importance of considering individual infant factors in treatment response.

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