Phosphatintoxikation nach Klysmagabe – eine lebensgefährliche iatrogene Komplikation

Marek, Iwona; Benz, Kurt; Kusnik, S.; Morhart, Patrick; Botzenhardt, Sebastian; Toni, Irmgard; Rascher, Wolfgang

doi:10.1055/s-0035-1548839

Cited by 9 publications

(2 citation statements)

References 11 publications

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“…Betroffene benötigen nach überstandenem Akutereignis zunächst eine längerfristige parenterale Ernährungjedoch kann ein relevanter Anteil von der parenteralen Ernährung entwöhnt werden. Die funktionelle Anpassung (enterale Adaptation) des verbleibenden Darmes benötigt einen Zeitraum bis zu 4 Jahren [9].…”

Section: Merkeunclassified

Gastrointestinale Fehlbildungen und Erkrankungen des Neugeborenen – Teil 1

Tröbs¹

2019

Neonatologie Scan

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Section: Merkeunclassified

Gastrointestinale Fehlbildungen und Erkrankungen des Neugeborenen – Teil 1

Tröbs¹

2019

Neonatologie Scan

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“…Important signs of a disruption to the passage of meconium are bilious stomach contents, increase in abdominal circumference, guarding and pain in the abdominal wall, intestinal rigidity and vascular proliferation and erythema of the abdominal wall ( Figure 1). In cases where therapeutic rectal enemas are administered in newborns, phosphate-containing enemas must be strictly avoided, as life-threatening hyperphosphatemia, hypocalcemia and metabolic acidosis may occur [7].…”

Section: I1 Acute Abdomenmentioning

confidence: 99%

Review. Gastrointestinal Surgery in Neonates: Practice, Facts, and Trends

Tröbs¹

2019

OJPed

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The author presents an overview of the current trends in acute neonatal gastrointestinal surgery. Necrotizing enterocolitis and focal intestinal perforation are disorders of different etiology, appearance, and prognosis. In neonates with focal perforation, a good prognosis can be expected. Primary anastomosis is a valid option for primary surgery. Meconium ileus is based on obstruction of the terminal ileum. Medical treatment is the primary therapeutic option, although surgery may be required. In contrast, meconium plug syndrome is based on stool plugging in the left colon, and surgery is not appropriate. Hirschsprung's disease is confirmed on the basis of representative biopsy of the rectum just above the dentate line. There is a trend toward a single-step pull-through operation without protective stoma. Open hernia repair in small neonates can be performed via a mini-incision and without opening the external inguinal ring. Laparoscopic hernia repair has some advantages, especially in girls. In infants with pyloric stenosis, laparoscopic pyloromyotomy is a first line option for treatment. There is a general trend toward single-stage procedures and laparoscopic reconstructive surgery for gastrointestinal malformations. With the exception of tracheoesophageal fistula and low bowel obstruction, the vast majority of upper gastrointestinal malformations can be identified using prenatal ultrasound examination. One-stage repair with excellent results is even possible in neonates below 1000 g. Surgery of duodenal or small bowel atresia can be performed following the postnatal adaptation period. For some forms of anorectal malformation, the need for a protective stoma has been questioned in the last decade. Posterior sagittal anorectoplasty remains the standard procedure for the majority of cases. Midgut or segmental volvulus affects different groups of infants. If a neonate is suspected of having any type of volvulus, urgent surgery is required. Intestinal duplication carries a high risk for complications, and surgery should be performed on an elective basis.

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