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Pediatr Emerg Care ; 28(9): 886-8, 2012 Sep.
Article in English | MEDLINE | ID: mdl-22929145

ABSTRACT

AIM: This report describes our experience concerning gastrointestinal perforation due to necrotizing enterocolitis during a 10-year period. METHOD: The cases of 27 gastrointestinal perforations, which were treated in our hospital, were retrospectively reviewed. RESULTS: All patients were neonates and infants up to the age of 2 months. The study population consisted of 16 boys (59.3%) and 11 girls (40.7%). Twenty-one neonates (77.8%) were preterm, and the median gestational age was 28 weeks. Twenty-four cases (88.9%) of perforation underwent laparotomy. The overall mortality was 63%. Seventy-six percent of the preterm neonates and only 16.7% of the full-term neonates died. CONCLUSIONS: Gastrointestinal perforation is still connected with a high mortality rate, with necrotizing enterocolitis being the main cause of death. The neonates who did not undergo surgery all died.


Subject(s)
Intestinal Perforation/mortality , Intestinal Perforation/surgery , Cause of Death , Female , Gestational Age , Humans , Infant , Infant, Newborn , Infant, Premature , Laparotomy , Male , Retrospective Studies , Risk Factors , Treatment Outcome
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