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Article: Gastric pneumatosis in a premature neonate

TitleGastric pneumatosis in a premature neonate
Authors
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
Citation
American Journal of Perinatology Reports, 2011, v. 1 n. 1, p. 11-14 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/146889
ISSN

 

DC FieldValueLanguage
dc.contributor.authorTing, JYen_US
dc.contributor.authorChan, KLen_US
dc.contributor.authorWong, MSCen_US
dc.contributor.authorChim, Sen_US
dc.contributor.authorWong, KYen_US
dc.date.accessioned2012-05-23T05:48:41Z-
dc.date.available2012-05-23T05:48:41Z-
dc.date.issued2011en_US
dc.identifier.citationAmerican Journal of Perinatology Reports, 2011, v. 1 n. 1, p. 11-14en_US
dc.identifier.issn2157-6998-
dc.identifier.urihttp://hdl.handle.net/10722/146889-
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.languageengen_US
dc.publisherThieme Medical Publishers. The Journal's web site is located at http://www.thieme.de/SID-6EE45363-12712B66/fz/ajpreports.html-
dc.relation.ispartofAmerican Journal of Perinatology Reportsen_US
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 neonateen_US
dc.typeArticleen_US
dc.identifier.emailTing, JY: jyting@hku.hken_US
dc.identifier.emailChan, KL: klchan@hkucc.hku.hken_US
dc.identifier.emailWong, MSC: mscwong@hkucc.hku.hken_US
dc.identifier.emailChim, S: schim@hku.hken_US
dc.identifier.emailWong, KY: kywongb@hkucc.hku.hk-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1055/s-0030-1271218-
dc.identifier.hkuros199697en_US
dc.identifier.hkuros198474-
dc.identifier.volume1en_US
dc.identifier.issue1-
dc.identifier.spage11en_US
dc.identifier.epage14en_US
dc.publisher.placeUnited States-

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