ArticlePediatric surgery international2018
Neonatal gastric perforations in very low birth weight infants: a single center experience and review of the literature.
Article in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 24 citations in OpenAlex.
- The clinical characteristics and prognostic factors of neonatal gastric perforation and rupture: a multicenter retrospective study in Japan.Pediatric surgery international · 2026Article
- Neonatal total gastrectomy as treatment for gastric rupture: Case report.International journal of surgery case reports · 2025Article
- Effect of early postoperative enteral nutrition on the short-term prognosis in neonatal gastric perforation.Pediatric discovery · 2025Article
- Laparoscopic management of congenital gastric muscular layer defect and gastric perforation: a case series.World journal of pediatric surgery · 2025Article
- Sleeve gastrectomy for multiple gastric perforations in a preterm: A case report.Clinical case reports · 2022Article
- Risk Factors for Mortality in Neonatal Gastric Perforation: A Retrospective Cohort Study.Frontiers in pediatrics · 2021Article
- Gastric necrosis in a term infant treated with near-total gastrectomy and delayed reconstruction with a Hunt-Lawrence pouch.BMJ case reports · 2019Article
- Pathogenetic and Prognostic Factors for Neonatal Gastric Perforation: Personal Experience and Systematic Review of the Literature.Frontiers in pediatrics · 2018Article
- Neonatal Gastric Perforation: Our Experience and Important Preoperative and Intraoperative Caveats to Prognosticate and Improve Survival.Journal of Indian Association of Pediatric SurgeonsArticle
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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
purposeGastric perforation is a rare condition with high mortality rates in preterm infants. The aim of this retrospective study was to define the risk factors and prognosis in very low birth weight (VLBW) infants with gastric perforations.
methodsVLBW infants with a diagnosis of gastric perforation between 2012 and 2016 were included. The data including birth weight, gestational age, gender, risk factors, time and location of the perforation and prognosis were recorded.
resultsA total of eight infants were identified. The median gestational age and birth weight of the infants were 26 weeks and 860 g, respectively. Five were male and 6 (75%) had a diagnosis of hemodynamically significant patent ductus arteriosus (PDA), early sepsis, persistent hypotension, and drug administration (paracetamol, ibuprofen). The main clinical finding was abdominal distension and pneumoperitoneum was detected in all infants. The median diagnosis was 6 days of life. The median perforation size was 2.5 cm and curvature major and anterior wall were the most common locations. The mortality rate was 62.5%.
conclusionMale gender, chorioamnionitis, early sepsis, asphyxia, hemodynamic PDA, persistent hypotension, ibuprofen and paracetamol usage, and orogastric catheter administration were the main risk factors for gastric perforations in VLBW infants.
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