Revista Cubana de Pediatría
version ISSN 0034-7531
CABO RODRIGUEZ, Víctor; LLANES CESPEDES, Ruperto; GRAVERAN SANCHEZ, Luis Alexis and VILORIO BARRERAS, Pedro Abelardo. Neonatal gastric perforation. Rev Cubana Pediatr [online]. 2011, vol.83, n.3, pp. 248-257. ISSN 0034-7531.
Introduction: present like a real surgical emergence, the neonatal gastric perforation is a challenge for all physicians working in this field. Objective: to show the results of our experience with the treatment of newborns presenting with gastric perforation and also to review the current state of knowledge on this nosology. Methods: a retrospective and descriptive research was conducted in all the newborns admitted in the surgical neonatology ward of the "William Soler" University Children Hospital, diagnosed with a gastric perforation, from January, 1990 to December, 2010. Results: eight patients were treat concluded that three were idiopathic. The fundus of the stomach and the organ's anterior face were the more frequently involved sites. By his part, the prematurity hasn't an evident relationship with the occurrence of perforation. In most of patients a primary repair of the perforation without gastrotomy was carried out. The general morality in present study was of 62 % and the peritonitis was the more frequent complication. Conclusions: the neonatal gastric perforation is a highly lethal entity in which the different alternatives of surgical treatment are not anyway by themselves, the solution to achieve an appropriate survival.
Keywords : Neonatal gastric perforation; idiopathic gastric perforation; prematurity.