ArticlePediatric surgery international2019
Gastroduodenal perforation in the pediatric population: a retrospective analysis of 20 cases.
Article in Pediatric surgery international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Perforated peptic ulcers in children: a systematic review.BMC pediatrics · 2025Pooled it
- Sequential gastric and ileal perforations, a rare presentation in a man with sickle cell anemia: A case report.The Journal of international medical research · 2025Article
- Over-the-Counter Ibuprofen-Induced Pre-Pyloric Gastric Perforation in a 28-Month-Old Child: A Rare Pediatric Case.Cureus · 2025Article
- The Prevalence, Etiology and Treatment of Gastroduodenal Ulcers and Perforation: A Systematic Review.Journal of clinical medicine · 2024Review
- Experience in diagnosis and treatment of duodenal ulcer perforation in children.BMC pediatrics · 2023Article
- Experience of management of pediatric upper gastrointestinal perforations: a series of 30 cases.Frontiers in pediatrics · 2023Article
- Diagnostic Utility of Ultrasonography for Duodenal Ulcers in Pediatric Cases in Japan.Frontiers in pediatrics · 2019Article
- Complicated duodenal perforation in children: Role of T-tube.African journal of paediatric surgery : AJPSArticle
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveThe aim of this study was to investigate the pathogenesis, symptoms and individualized surgical management in pediatrics with gastroduodenal perforation (GDP).
methodsPatients diagnosed with GDP from January 2013 to December 2016 in our hospital were collected and divided into gastric perforation (GP) group and duodenal perforation (DP) group. Demographics, clinical events, etiological factors, symptoms, the time from symptom onset to operation, intraoperative findings and surgical procedures were analyzed. Follow-ups including ulcer, perforations occurrence, and digestive symptoms were carried out by out-patient review or telephones.
resultsA total of 20 patients aged from 3 months to 14 years were enrolled in this study. The average age, main clinical presentations, size of perforations and operating time between two groups had no difference. The male to female ratio in DP group was higher than GP (P < 0.05). The high risk factor for DP was the use of dexamethasone, and for GP was HP infection. The most common site of perforation in DP group was duodenal bulb, and in GP group was pylorus area. Simple suture is the main management for both DP and GP, but distal gastrectomy combined with gastrojejunal Roux-en-Y anastomosis may be an alternative procedure for large perforation with diameter > 2 cm. The length of hospital days in GP group is shorter than DP group (P < 0.05). For follow-up, no patients had digestive symptoms.
conclusionsThe general condition had no difference between GP and DP patients. But the risk factors and surgical repair differ depending on the patient's fundamental illness and the complexity of the perforation.
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