ArticlePediatric surgery international2022
Pneumatosis intestinalis in children beyond the neonatal period: is it always benign?
Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- Idiopathic pneumatosis cystoides intestinalis of the small bowel with perforation and congenital duodenal membranous stenosis and malrotation of intestine. A case report.Frontiers in surgery · 2026Article
- Risk Factors and Outcome of Pneumatosis Intestinalis in Children.Children (Basel, Switzerland) · 2025Article
- Diffuse pneumatosis intestinalis caused by food protein-induced enterocolitis-a case report.AME case reports · 2025Article
- Low-risk pneumatosis intestinalis in the pediatric surgical population.Pediatric surgery international · 2024Article
- Non-Operative Management of Children with Pneumatosis Intestinalis Beyond the Neonatal Period: Opportunity to Decrease Resource Utilization, a Single Center Experience.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Current approaches to the management of pneumatosis intestinalis: an American Pediatric Surgical Association membership survey.Pediatric surgery international · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe significance and management of pediatric pneumatosis intestinalis (PI) remains poorly defined. We sought to add clarity in children beyond the neonatal period.
methodsPediatric patients 3 months-18 years admitted to a quaternary children's hospital with a diagnosis of PI were included in this retrospective study. Pathologic PI was defined as irreversible, transmural intestinal ischemia.
results167 children were identified with PI. Of these children, 155 (92.8%) had benign PI and 12 (7.2%) developed pathologic PI. The most common underlying diagnosis for pathologic PI was global developmental delay (75%), although we identified a spectrum of underlying diagnoses at risk for PI. Physical exam notable for abdominal distension (p = 0.023) or guarding (p = 0.028), and imaging with portal venous gas (p < 0.001) or bowel distension (p = 0.001) were significantly associated with pathologic PI. Only 6.6% of all children underwent an operation. For those undergoing non-surgical management of benign PI, 75% of children received antibiotics and average duration of bowel rest was 6.8 days.
conclusionsPI in children is primarily a benign phenomenon and often does not warrant surgical intervention. Bowel rest and antibiotics are therapeutic strategies frequently used in the treatment of this finding.
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