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Hyperbaric oxygen therapy for intestinal obstruction in children: an exceptional experience in a compromised child.

Abstract：

:Intestinal obstruction in a 2-year-old girl with a histologically proven diagnosis of retroperitoneal yolk sac carcinoma developed after the second course of anticancer chemotherapy. Nonoperative treatment was not effective. Because the patient had fallen into a state of chemotherapy-induced myelosuppression, surgery was ruled out. Thus, hyperbaric oxygen therapy was the next treatment of choice. It was performed twice under hyperbaric oxygen conditions at 2.8 atmospheric pressure for 111 minutes. After the procedure, her general status recovered well. The air-fluid level disappeared on the radiograph, and no adverse effects were observed. Later, a surgical removal of the primary tumor was performed successfully, but an intestinal resection was not required. This is the first instance in which we performed hyperbaric oxygen therapy on a child in the management of an intestinal obstruction. Based on the successful outcome in this case, hyperbaric oxygen therapy is suggested to be a useful adjunct to nonoperative therapy for intestinal obstruction when a patient's overall state does not allow operative intervention.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Ohno Y,Kanematsu T

doi

10.1016/s0022-3468(98)90494-8

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

1543-5

issue

10

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(98)90494-8

journal_volume

33

pub_type

杂志文章

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