Article: Gastric pneumatosis in a premature neonate

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TitleGastric pneumatosis in a premature neonate
AuthorsTing, JY
Chan, KL
Wong, MSC
Chim, S
Wong, KY
KeywordsGastric pneumatosis
Preterm
Neonate
Synchronized nasal intermittent positive pressure ventilation
Issue Date2011
PublisherThieme Medical Publishers. The Journal's web site is located at http://www.thieme.de/SID-6EE45363-12712B66/fz/ajpreports.html
CitationAmerican Journal of Perinatology Reports, 2011, v. 1 n. 1, p. 11-14 [How to Cite?]
DOI: http://dx.doi.org/10.1055/s-0030-1271218
AbstractGastric pneumatosis is extremely rare during infancy. It has been reported in association with necrotizing enterocolitis or congenital abnormalities such as pyloric stenosis. Here, we report a case of gastric pneumatosis in a premature neonate on synchronized nasal intermittent positive pressure ventilation. No pneumatosis was noted in the rest of the bowel or esophagus. There could have been mild damage in the gastric mucosa, either related to the placement of the feeding tube or secondary to the use of indomethacin or both. The condition was further aggravated by noninvasive ventilation. An increase in intragastric pressure resulted in the submucosal dissection of air followed by the development of gastric pneumatosis. Conservative management strategies, including the use of a nasogastric tube for decompression and the withholding of feeding, successfully managed the gastric pneumatosis in our patient. An uneventful recovery was made after conservative management. Prompt recognition and evaluation of this condition were essential for making the diagnosis.
ISSN2157-6998
DOIhttp://dx.doi.org/10.1055/s-0030-1271218
DC Field
Value
dc.contributor.authorTing, JY
dc.contributor.authorChan, KL
dc.contributor.authorWong, MSC
dc.contributor.authorChim, S
dc.contributor.authorWong, KY
dc.date.accessioned2012-05-23T05:48:41Z
dc.date.available2012-05-23T05:48:41Z
dc.date.issued2011
dc.description.abstractGastric pneumatosis is extremely rare during infancy. It has been reported in association with necrotizing enterocolitis or congenital abnormalities such as pyloric stenosis. Here, we report a case of gastric pneumatosis in a premature neonate on synchronized nasal intermittent positive pressure ventilation. No pneumatosis was noted in the rest of the bowel or esophagus. There could have been mild damage in the gastric mucosa, either related to the placement of the feeding tube or secondary to the use of indomethacin or both. The condition was further aggravated by noninvasive ventilation. An increase in intragastric pressure resulted in the submucosal dissection of air followed by the development of gastric pneumatosis. Conservative management strategies, including the use of a nasogastric tube for decompression and the withholding of feeding, successfully managed the gastric pneumatosis in our patient. An uneventful recovery was made after conservative management. Prompt recognition and evaluation of this condition were essential for making the diagnosis.
dc.description.naturelink_to_OA_fulltext
dc.identifier.citationAmerican Journal of Perinatology Reports, 2011, v. 1 n. 1, p. 11-14 [How to Cite?]
DOI: http://dx.doi.org/10.1055/s-0030-1271218
dc.identifier.doihttp://dx.doi.org/10.1055/s-0030-1271218
dc.identifier.epage14
dc.identifier.hkuros199697
dc.identifier.hkuros198474
dc.identifier.issn2157-6998
dc.identifier.issue1
dc.identifier.spage11
dc.identifier.urihttp://hdl.handle.net/10722/146889
dc.identifier.volume1
dc.languageeng
dc.publisherThieme Medical Publishers. The Journal's web site is located at http://www.thieme.de/SID-6EE45363-12712B66/fz/ajpreports.html
dc.publisher.placeUnited States
dc.relation.ispartofAmerican Journal of Perinatology Reports
dc.rightsAmerican Journal of Perinatology Reports. Copyright © Thieme Medical Publishers.
dc.subjectGastric pneumatosis
dc.subjectPreterm
dc.subjectNeonate
dc.subjectSynchronized nasal intermittent positive pressure ventilation
dc.titleGastric pneumatosis in a premature neonate
dc.typeArticle