Paediatric and adolescent traumatic gastrointestinal injuries: results of a European multicentre analysis

Fischerauer, Eva E.; Zötsch, Silvia; Capito, Carmen; Bonnard, Arnaud; Sárközy, Sándor; Berndt, Jürgen; Hosie, Stuart; Picó, Raimundo Beltrá; Steinau, G.; Wiejek, Agnieszka; Czauderna, Piotr; Çelik, Ahmet; Fernandez, A. Lain; Ibáñez, V Martínez; Esposito, Ciro; Saxena, Amulya K.

doi:10.1111/apa.12337

Cited by 2 publications

(1 citation statement)

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“…It may occur in older children as a result of trauma, other inflammatory gastrointestinal problems, or iatrogenic events, etc. [1314]. Similarly, we found that SGIPs occurred at any age, and were more common in neonates (61.5%) than in age groups beyond the neonate (38.5%).…”

Section: Discussionsupporting

confidence: 76%

Clinical implication of spontaneous gastrointestinal perforation in pediatric patients: its difference according to age group

et al. 2018

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PurposeSpontaneous 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.MethodsRetrospectively 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).ResultsGroup 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).ConclusionSGIPs 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.

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Section: Discussionsupporting

confidence: 76%