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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 FieldValue
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
 
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<contributor.author>Chim, S</contributor.author>
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