지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 147 - 154 (8page)
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초록· 키워드
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Purpose: This study aimed to evaluate the clinical and radiologic findings suggestive of spontaneous intestinal perforation (SIP) in extremely-low-birth-weight infants (ELBWIs) with persistent gasless abdomen, and to investigate the usefulness of abdominal ultrasonography for the diagnosis of SIP. Methods: In total, 22 infants with birth weights less than 1,000 g who showed persistent gasless abdomen on simple abdominal radiography were included. Perinatal, neonatal, and perioperative clinical findings were retrospectively reviewed, and the risk factors for intestinal perforation were evaluated. Abdominal sonographic findings suggestive of intestinal perforation were also identified, and postoperative short-term outcomes were evaluated. Results: In total, eight of the 22 infants (36.4%) with gasless abdomen had SIP. The number of infants with patent ductus arteriosus who were treated with intravenous ibuprofen or indomethacin was significantly higher in the SIP group than in the non-SIP group (P<0.05). Greenish or red gastric residue, abdominal distension, or decreased bowel sound were more frequent in infants with SIP (P<0.05), in addition to gray or bluish discoloration of abdomen, suggestive of meconium peritonitis (P<0.05). Pneumoperitoneum on simple abdominal radiography was found in only one of the eight infants (12.5%) with SIP. Intramural echogenicity and echogenic extramural material on abdominal ultrasonography were exclusively observed in infants with SIP. Four infants (50%) with SIP died after surgical intervention. Conclusion: Intestinal perforation may occur in ELBWIs with gasless abdomen. As intramural echogenicity and extraluminal echogenic materials on abdominal ultrasonography are indicative of SIP, this technique could be useful for diagnosing SIP.
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등록된 정보가 없습니다.
참고문헌 (33)
참고문헌 신청
Fischer A / 2015 / Ultrasound to diagnose spontaneous intestinal perforation in infants weighing ≤ 1000 g at birth / J Perinatol 35:104~109
Miller SF / 1993 / Use of ultrasound in the detection of occult bowel perforation in neonates / J Ultrasound Med 12:531~535
Attridge JT / 2006 / Discharge outcomes of extremely low birth weight infants with spontaneous intestinal perforations / J Perinatol 26:49~54
Pumberger W / 2002 / Spontaneous localized intestinal perforation in very-low-birth-weight infants: a distinct clinical entity different from necrotizing enterocolitis / J Am Coll Surg 195:796~803
Mintz AC / 1993 / Focal gastrointestinal perforations not associated with necrotizing enterocolitis in very low birth weight neonates / J Pediatr Surg 28:857~860
Miller SF / 1993 / Use of ultrasound in the detection of occult bowel perforation in neonates / J Ultrasound Med 12:531~535
Attridge JT / 2006 / Discharge outcomes of extremely low birth weight infants with spontaneous intestinal perforations / J Perinatol 26:49~54
Pumberger W / 2002 / Spontaneous localized intestinal perforation in very-low-birth-weight infants: a distinct clinical entity different from necrotizing enterocolitis / J Am Coll Surg 195:796~803
Mintz AC / 1993 / Focal gastrointestinal perforations not associated with necrotizing enterocolitis in very low birth weight neonates / J Pediatr Surg 28:857~860
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