ArticleJournal of neonatal surgery
Gastrointestinal perforation in neonates: aetiology and risk factors.
Article in Journal of neonatal surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 22 citations in OpenAlex.
- Necrotizing enterocolitis with gastric perforation in a 24-day old preterm neonate.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026Article
- Idiopathic pneumoperitoneum in infants: A management dilemma and a literature review.Radiology case reports · 2025Article
- Spontaneous rectosigmoid perforation at the watershed area of the Sudeck point in an apparently healthy toddler boy: a case report.Journal of medical case reports · 2023Article
- An Early Presentation of Spontaneous Intestinal Perforation in a Very Low Birth Weight Neonate: A Case Report.Cureus · 2023Article
- Ultrasonic Diagnosis of Intestinal Obstruction in Neonates-Original Article.Diagnostics (Basel, Switzerland) · 2023Article
- Premature twin neonates with a Coronavirus-19 positive mother present with an unusual pattern of intestinal ischemia.Journal of pediatric surgery case reports · 2022Article
- Neurodevelopmental outcome of very preterm infants with gastrointestinal tract perforations does not differ compared to controls.Wiener klinische Wochenschrift · 2021Article
- Spontaneous Ileum Perforation in a premature twin with Coronavirus-19 positive mother.Journal of pediatric surgery case reports · 2021Article
- Risk Factors for Mortality in Neonatal Gastric Perforation: A Retrospective Cohort Study.Frontiers in pediatrics · 2021Article
- Neonatal small bowel perforation in ileal atresia in a low resource setting: A case report.Clinical case reports · 2020Article
- The pattern of neonatal gastro-intestinal perforation in upper Egypt.Annals of pediatric surgery · 2020Article
- Delayed diagnosis of spontaneous intestinal perforation among very low birth weight neonates: A single center experience.Journal of perinatology : official journal of the California Perinatal Association · 2019Article
- Pathogenetic and Prognostic Factors for Neonatal Gastric Perforation: Personal Experience and Systematic Review of the Literature.Frontiers in pediatrics · 2018Article
- Neonatal gastric perforations in very low birth weight infants: a single center experience and review of the literature.Pediatric surgery international · 2018Article
- Neonatal Gastrointestinal Perforations: the 10-Year Experience of a Reference Hospital.The Indian journal of surgery · 2017Article
- Spontaneous Intestinal Perforation in a Very Low Birth Weight Infant: Successful Management by Peritoneal Needle Suction.Journal of neonatal surgeryArticle
- Radiographic signs of gastrointestinal perforation in children: A pictorial review.African journal of paediatric surgery : AJPSReview
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGastrointestinal perforation (GIP) in neonates presents important challenges and mortality can be high. This is a report of recent experience with GIP in neonates in a developing country. PATIENTS AND
methodsA retrospective review of 16 neonates treated for GIP in a 3 year period.
resultsThere were 9 males and 7 females, aged 0-28 days (median age =7days). Their weights at presentation ranged from 0.9 - 4.7kg (median =2.6). Five infants were premature. Twelve infants presented more than 72 hours after onset of symptoms. Plain abdominal radiographs showed peumoperitoneum in 9 infants. The cause of perforation was necrotising enterocolitis 6, intestinal obstruction 6, iatrogenic 3 and spontaneous 1. The site of perforation was ileum in 12 infants, stomach in 4 and colon in 4; 4 patients had involvement of more than one site. All the neonates underwent exploratory laparotomy with primary closure ( n=5) , resection and anastomosis( n=6), colostomy (n=3), Ileostomy ( n=2), partial gastrectomy (n=2) ,or gastrojejunostomy ( n=1). Two neonates had multiple procedures. Two very sick preterm babies had an initial peritoneal lavage. Surgical site infection is the commonest postoperative complication occurring in 9 infants. Anaesthesia sepsis and malnutrition is responsible for the seven deaths recorded.
conclusionsNeonatal GIP has multiple aetiologies; NEC is the most common cause. Major mortality risk factors include NEC, multiple perforations, delayed presentation and prematurity.
Indexed as
Identifiers
26023450PMC4422271W2168333093What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.