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Neonatal gastric perforation: A single center experience.
[congenital diaphragmatic hernia]
To
determine
the
etiology
and
prognostic
factors
for
neonatal
gastric
perforation
(
NGP
)
,
a
rare
but
life-threatening
disease
.
Between
1980
and
2011
,
nine
patients
underwent
surgical
intervention
for
NGP
at
Seoul
National
University
Children
's
Hospital
.
The
characteristics
and
prognosis
of
the
patients
were
retrospectively
analyzed
.
Among
the
nine
patients
,
three
(
33
.
3
%
)
were
preterm
babies
and
five
(
55
.
5
%
)
had
associated
anomalies
,
which
included
diaphragmatic
eventration
(
n
=
2
)
,
congenital
diaphragmatic
hernia
,
esophageal
atresia
with
tracheoesophageal
fistula
,
and
antral
web
.
Three
(
33
.
3
%
)
patients
were
born
before
1990
and
three
(
33
.
3
%
)
had
a
birth
weight
<
2500
g
.
Pneumoperitoneum
was
found
on
preoperative
images
in
six
(
66
.
7
%
)
patients
,
and
incidentally
in
the
other
three
(
33
.
3
%
)
patients
.
Surgery
was
performed
within
24
h
after
the
onset
of
symptoms
in
seven
(
77
.
8
%
)
patients
.
The
overall
mortality
rate
was
22
.
2
%
(
2
/
9
)
.
The
time
between
symptoms
and
surgical
intervention
was
the
only
prognostic
factor
for
survival
,
whereas
premature
birth
and
birth
weight
were
not
.
Early
detection
and
advances
in
neonatal
intensive
care
may
improve
the
prognosis
of
NGP
.
Diseases
Validation
Diseases presenting
"neonatal gastric perforation"
symptom
congenital diaphragmatic hernia
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