Journal of Neonatal Biology

Evaluation of Neonatal Gastric perforation

International Conference and Expo on Neonatology and Perinatology - June 06, 2022 | Webinar

June 06, 2022 | Webinar

Omar Abdulqader Ajaj

Fertility Specialist and Reproductive Endocrinologist, University of Adelaide, Australia

Scientific Tracks Abstracts: J Neonatal Biology

Abstract:

Neonatal stomach perforation is extremely rare clinical event associated with high mortality and morbidity. Its pathogenesis and etiology are still unknown. This study was conducted over a 10-year period. It included seven neonates with neonatal pneumoperitoneum admitted to the pediatric surgery department. Out of seven newborns, 57% were males and 43% were females. In addition, the age of diagnosis was 1st day in 57%. All newborns with stomach perforation that underwent surgery for neonatal pneumoperitoneum were included. The diagnosis of stomach perforation was proved by laparotomy in all cases. The site of stomach perforation was anteriorly in 86%, and (14%) in the posterior wall of stomach. The obtained data included neonatal demographics, clinical, radiographic, and surgical findings. Postoperative followup was provided for all newborns. Importance of Research: Intrauterine gastric perforation is rare. one case has been documented in the literature. In contrast, neonatal spontaneous gastric perforation is more common, with over 300 reported cases have been documented in the literature since the 1st case was described in 1825. In Kara et al the mean age at diagnosis was 3.2 days (1). In our study the most common age of diagnosis was 1st day of life in 57% followed by the 2nd day in 29% of cases. In this series, the most important clinical findings were abdominal distension (100%), greenish vomiting (100%), and abdominal wall erythema (71%). In another study, Im et al found that the most common clinical findings are tachypnoea, respiratory distress and abdominal distension. In our series, the site of stomach perforation was anteriorly in 86%(n=6) of cases. The majority of reports agree as to the site of stomach perforations, which are occurred near the anterior greater curvature of the stomach in 85%–95% of cases. In our series, three neonates of intrauterine gastric perforation, we suggest that intrauterine fetal hypoxic stress and prematurity contributed to the gastric perforation. There were two cases of associated distal obstruction (total bowel aganglionosin, Pyloric atresia), increase intra gastric pressure due to associated distal obstruction such as atresia, meconium ileus, and Hirschsprung’s disease considered to play a role in neonatal stomach perforation.

Biography :

Dr. Omar Abdulqader Ajaj studied at College of Medicine and graduated as M.B. Ch.B. in 2009. Then joined the Fellowship of Iraqi Council for Medical Specialization at the Institute of pediatric surgery. He received PhD degree in 2017 at the same institution. Obtained the position of an Associate Professor at the Pediatric Surgery, College Of Medicine. He has worked as Head of Department of pediatric surgery at University Of Anbar, College Of Medicine/ Al-Ramadi Children and Maternity Teaching Hospital, Anbar, Iraq. He has been involved in education of medical students and pediatric residents since 2017. He has been Reviewer and Editorial member of scientific papers for many international journals. He has been speaker and participant in many international conferences. Participant of international training courses and workshops. He has many of articles published in international journals, and his publication h-index is 1. He has been lecturing many continuous medical education courses