The Turkish Journal of Pediatrics
2012 , Vol 54 , Num 3
Why Gastric Perforation Occurs in Patients with Isolated Esophageal Atresia: More Vulnerable Stomach?
Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
Gastric perforation (GP) in patients with isolated esophageal atresia (EA) is
seen more than expected. The etiology of the perforation may be vulnerability
of these immature stomachs. Gastrostomy operation should be performed by
gentle handling. The volume of gastrostomy feedings should be increased
incrementally. The early diagnosis of perforation is only possible with a high
index of suspicion. The stomach should be visualized by gastrography with
soluble contrast material as soon as the perforation is suspected.
Keywords :
esophageal atresia, isolated, gastric perforation, gastrostomy.