The vulnerable stomach in babies born with pure oesophageal atresia.

Abstract:

:Nine babies with pure oesophageal atresia were treated in our institution in the years 1979-1996. All received a feeding gastrostomy as their initial operation. After initiation of gastrostomy feeds seven (78%) developed gastric complications, including two posterior gastric perforations (one fatal). We propose that the high complication rate is due to a small, abnormal stomach that is vulnerable to damage by operative trauma and the effects of handling large volumes of feed. We hypothesise that the stomach is abnormal because it has not been exposed to the maturing effects of amniotic fluid in utero. Feeds should be introduced very cautiously to these babies and built up very slowly.

journal_name

Pediatr Surg Int

authors

Kimble RM,Harding JE,Kolbe A

doi

10.1007/s003830050640

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

467-9

issue

7

eissn

0179-0358

issn

1437-9813

pii

90150467.383

journal_volume

15

pub_type

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