Niu Huizhong,Zhang Pengju,Liu Feng,et al.Analysis of acute gastrectasia in children[J].Journal of Clinical Pediatric Surgery,,18():888-892.[doi:10.3969/j.issn.1671-6353.2019.10.018]
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Analysis of acute gastrectasia in children

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第18卷 Number: 2019 10 Page: 888-892 Column: 论著 Date of publication: 2019-10-28
Author(s):
Niu Huizhong1;  Zhang Pengju1;  Liu Feng1;  Geng Jianlei1;  Ren Hui1;  Niu Bobo1;  Wang Zan1;  Chen Yajun2
1. Department of General Surgery, Hebei Children’s Hospital, Shijiazhuang 050031, China;
2. Department of General Surgery, Beijing Children’s Hospital, Capital Medical University, Beijing 10045, China
Keywords:
Gastric Dilatation; Gastrointestinal Diseases; Treatment Outcome; Child
CLC:
R726;R573
DOI:
10.3969/j.issn.1671-6353.2019.10.018
Abstract:
Objective To explore the clinical features of acute gastrectasia of children.Methods Retrospective analysis was performed for clinical data of 8 children of acute gastrectasia from December 2009 to August 2017.Clinical manifestations and treatments of the disease were summarized with a literature review.There were 2 boys and 6 girls with an average age of 30(11.6-63) months.All cases demonstrated gastrectasia on radiographic film.Results Two cases were operated for gastric rupture and elevated diaphragm respectively while the remainder received conservative measures.The major measures of conservative treatment were continuous gastrointestinal decompression,fluid resuscitation and nutritional support.All cases survived and successfully recovered.The maximal follow-up period was 5 years and the shortest 1 month.Both growths and developments were normal.Conclusion Acute gastric distension is rare in infants and toddlers. Its predominant clinical manifestations include vomiting and abdominal pain/fullness. Most children may be cured through non-surgical measures. Those not responding to conservative measures should be operated as soon as possible. Selecting rational diagnostics and therapeutics help boost the patient outcomes.

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Memo

收稿日期:2018-05-01。
通讯作者:陈亚军,Email:chenyajunmd@aliyun.com

Last Update: 1900-01-01