The Japanese journal of surgery

, Volume 13, Issue 5, pp 446–451 | Cite as

Neonatal gastric perforations; A diagnostic clue in pre-perforative phase

  • Hiroshi Kadowaki
  • Satoshi Takeuchi
  • Masashi Nakahira
  • Chuji Yamada
  • Shinji Tamate
Original Articles

Abstract

This paper is a retrospective analysis of the pre-perforative clinical picture in twenty-seven neonates with gastric perforations. In fifteen there was a remarkably consistent progressive pattern in the preperforative clinical course. We separated the clinical course of the disease into three distinct stages in relation to pathological changes in the gastric wall i.e. gastric ischemia and dysfunction, transmural peritonitis and paralytic ileus, and actual perforation. Emphasis was placed on the existance of a clinically detectable pre-perforative phase which, if interpreted correctly, should lead to earlier diagnosis and consequently more satisfactory therapeutic results.

Key words

neonatal gastric perforation 

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Copyright information

© The Japan Surgical Society 1983

Authors and Affiliations

  • Hiroshi Kadowaki
    • 1
    • 2
  • Satoshi Takeuchi
    • 1
    • 2
  • Masashi Nakahira
    • 1
    • 2
  • Chuji Yamada
    • 1
    • 2
  • Shinji Tamate
    • 1
    • 2
  1. 1.Section of Pediatric Surgery, Osaka City Perinatal CenterOsaka City University Medical SchoolOsakaJapan
  2. 2.Second Division, Department of SurgeryOsaka City University Medical SchoolOsakaJapan

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