지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.95 No.3
- 발행연도
- 2018.9
- 수록면
- 141 - 146 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Spontaneous gastrointestinal perforations (SGIPs; not associated with injury or disease) occur rarely in pediatric patients. This study aimed to define age-specific features associated with SGIPs in pediatric patients.
Methods: Retrospectively reviewed the clinical data of children (before adolescence) who received surgery due to a SGIP at a single institution. Thirty-nine patients were enrolled. Characteristics were compared between the 2 age groups: neonates (group A) and beyond neonates (group B).
Results: Group A included 24 patients (61.5%) an group B included 15 patients (38.5%). Thirteen perforations occurred in the stomach (33.3%), 12 in the small intestine (30.8%), and 14 in the large intestine (35.9%). A significantly higher proportion of perforations occurred in the stomach and small intestine in group A, while more perforations occurred in the large intestine in group B (P = 0.01). Several associated conditions during the preoperative period were identified in both groups. The overall mortality rate was 15.4% (6 of 39). Mortality was relatively high in group A (5 of 24, 20.8%) and for perforations of stomach (3 of 13, 23.1%) and small intestine (3 of 12, 25.0%); however, there were no significant differences with regard to age or perforation site (P = 0.244, P = 0.122, respectively).
Conclusion: SGIPs in pediatric patients had diverse clinical features and different perforation patterns according to age group. However, no significant group differences in mortality were found. Thus, favorable results regardless of age can be expected with prompt recognition, medical resuscitation, and adequate surgical management.
Methods: Retrospectively reviewed the clinical data of children (before adolescence) who received surgery due to a SGIP at a single institution. Thirty-nine patients were enrolled. Characteristics were compared between the 2 age groups: neonates (group A) and beyond neonates (group B).
Results: Group A included 24 patients (61.5%) an group B included 15 patients (38.5%). Thirteen perforations occurred in the stomach (33.3%), 12 in the small intestine (30.8%), and 14 in the large intestine (35.9%). A significantly higher proportion of perforations occurred in the stomach and small intestine in group A, while more perforations occurred in the large intestine in group B (P = 0.01). Several associated conditions during the preoperative period were identified in both groups. The overall mortality rate was 15.4% (6 of 39). Mortality was relatively high in group A (5 of 24, 20.8%) and for perforations of stomach (3 of 13, 23.1%) and small intestine (3 of 12, 25.0%); however, there were no significant differences with regard to age or perforation site (P = 0.244, P = 0.122, respectively).
Conclusion: SGIPs in pediatric patients had diverse clinical features and different perforation patterns according to age group. However, no significant group differences in mortality were found. Thus, favorable results regardless of age can be expected with prompt recognition, medical resuscitation, and adequate surgical management.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Management of gastrointestinal tract perforations
International Journal of Gastrointestinal Intervention
2017 .10
-
Comparison of gastric and other bowel perforations in preterm infants: a review of 20 years' experience in a single institution
Clinical and Experimental Pediatrics
2015 .01
-
Esophageal perforation in children: etiology and management, with special reference to endoscopic esophageal perforation
Clinical and Experimental Pediatrics
2018 .01
-
Long-term Clinical Outcomes and Risk of Peritoneal Seeding after Endoscopic Submucosal Dissection for Early Gastric Cancer: A Focus on Perforation during the Procedure
Gut and Liver
2019 .01
-
Endoscopic and Clinical Factors Affecting the Prognosis of Colorectal Endoscopic Submucosal Dissection-Related Perforation
Gut and Liver
2016 .01
-
Delayed Perforation Occurring after Gastric Endoscopic Submucosal Dissection: Clinical Features and Management Strategy
Gut and Liver
2024 .01
-
Bevacizumab induced intestinal perforation in patients with colorectal cancer
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2019 .06
-
Perforation on the Superior Side of Duodenum Is a Risk Factor of Laparoscopic Primary Repair for Duodenal Ulcer Perforation
대한외과학회 학술대회 초록집
2021 .05
-
식도 천공의 치료 및 임상적 분석
대한이비인후-두경부외과학회지
2016 .01
-
Gallbladder perforation : a single center experience of 32 cases
Annals of Hepato-Biliary-Pancreatic Surgery
2015 .02
-
Patient outcomes and prognostic factors associated with colonic perforation surgery: a retrospective study
Journal of Yeungnam Medical Science
2022 .04
-
Spontaneous Perforation of Colon in Previously Healthy Infantsand Children: Its Clinical Implication
Pediatric Gastroenterology, Hepatology & Nutrition
2016 .01
-
Perforated Choledochal Cyst: Its Clinical Implications in Pediatric Patient
Pediatric Gastroenterology, Hepatology & Nutrition
2020 .01
-
End or And...근관치료시 천공의 수복
대한치과의사협회지
2017 .08
-
Perforation on the superior side of duodenum is a risk factor of laparoscopic primary repair for duodenal ulcer perforation
Annals of Surgical Treatment and Research
2021 .04
-
Endoscopic Management of Iatrogenic Colon Perforation
Clinical Endoscopy
2020 .01
-
Analysis of Effect of Eggshell Membrane Patching for Moderate-to-Large Traumatic Tympanic Membrane Perforation
Journal of Audiology & Otology
2017 .01
-
Meaningful standard of reference for appendiceal perforation : pathology, surgery, or both?
Annals of Surgical Treatment and Research
2017 .08
-
담도 스텐트 시술 후 장천공 증례보고 및 장천공에 대한 고찰
대한한의학회지
2022 .09
이 논문의 저자 정보
이 논문과 함께 이용한 논문
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2018-514-003396810