Understanding Intestinal Vulnerability to Perforation in the Extremely Low Birth Weight Infant

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Gastric perforation in an extremely low birth weight infant recovered with percutaneous peritoneal drainage.

Neonatal gastric perforation is an uncommon but life-threatening condition, which is mainly encountered in premature infants. Primary surgical repair is the principal mode of the treatment. Gastric perforation in neonates improving with percutaneous peritoneal drainage alone has not been described previously. Therefore, an extremely low birth weight infant is presented herein in order to emphas...

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Risk Factors for Spontaneous Intestinal Perforation in Extremely Low Birth Weight Infants

Objective: Spontaneous intestinal perforations (SIP) in extremely low birth weight infants are distinctly different from necrotizing enterocolitis. The etiology of SIP is not well understood. Our objective was to identify perinatal therapeutic interventions that may increase the risk of spontaneous intestinal perforations. Methods: Medical records of extremely low birth weight infants (BW<1000g...

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Prophylactic indomethacin and intestinal perforation in extremely low birth weight infants.

OBJECTIVE Prophylactic indomethacin reduces severe intraventricular hemorrhage but may increase spontaneous intestinal perforation (SIP) in extremely low birth weight (ELBW) infants. Early feedings improve nutritional outcomes but may increase the risk of SIP. Despite their benefits, use of these therapies varies largely by physician preferences in part because of the concern for SIP. METHODS...

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Maternal factors in extremely low birth weight infants who develop spontaneous intestinal perforation.

BACKGROUND Spontaneous intestinal perforation of the extremely low birth weight infant (< or = 1000 g) is associated with a high incidence of Candida and coagulase-negative Staphylococcus sepsis. Little is known about prenatal risk factors, and histopathologic examination of placentas in infants with spontaneous intestinal perforation has not been reported. OBJECTIVES Our objective was to inv...

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Spontaneous Intestinal Perforation in a Very Low Birth Weight Infant: Successful Management by Peritoneal Needle Suction

The baby was born at 27 weeks gestation to a 31year-old mother by normal vaginal delivery. Birth weight was 1370 grams and Apgar scores were 9 at one minute and 10 at five minutes. He was admitted to the neonatal intensive care unit for respiratory distress syndrome requiring continuous positive airway pressure (CPAP) support. On the second day of hospital stay, although the general condition o...

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ژورنال

عنوان ژورنال: Pediatric Research

سال: 2009

ISSN: 0031-3998,1530-0447

DOI: 10.1203/pdr.0b013e31818c7920