Neonatal gastric perforations; A diagnostic clue in pre-perforative phase
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 wordsneonatal gastric perforation
Unable to display preview. Download preview PDF.
- 4.Kiesewetter, W. B.: Spontaneous rupture of the stomach in the newborn. Amer. J. Dis. Child. 91: 162–167, 1956.Google Scholar
- 7.Lloyd, J. R.: Pediatric Surgery. 3rd ed. pp. 8–87 891, Year Book Med. Pub. Chicago, 1970.Google Scholar
- 9.Touloukian, R. J.: Gastric ischemia: the primary factor in neonatal perforation. Clin. Pediatr. 12: 219–225, 1973.Google Scholar
- 14.Arima, A. Kojima, Y. Shimamoto, K. Sakoguchi, Y. Tajima, N. Ikawa, M. Akita, H. and Kikuchi, J.: Neonatal gastric ruptures. Proceedings of the 16th Annual Meeting of the Japanese Society of Pediatric Surgeons pp. 215, 1979.Google Scholar
- 16.Purkert, W. J. and Hoy, G. R.: Technique for continous sampling of peritoneal fluid for prediction of intestinal gangrene. J. Pediat. Surg. 16: 58–60, 1980.Google Scholar