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          VOLUME 37 / ISSUE 2

The Journal is Indexed in

7 - Gastrointestinal perforations seen in childhood

Mustafa İnan, Burhan Aksu, Çağatay Yalçın Aydıner, Mehmet Pul

Objective: The aim of this study was to evaluate our a gastrointestinal perforation with the literature Study Design: This study was carried out retrospectr 35 children who were diagnosed and treated for gastroi nal perforations, from 1994 to 2002. The cases were c, ed into three groups as newborns, infants, and older ch

Results: In newborn group, gastrointestinal perforation frequently observed in ileum (n=9) due to necrotizing t colitis (n=10). Ileostomy (n=8) were performed and me rate was 35.2% in this group. In infant group, one st and one colon perforation were observed and the perfc zone could not be detected in one patient. Only one / survived in this group. In children group, blunt abdomir uma (n=4) and corrosive intake (n=4) were the most ce causes of perforation. Primary suture (n=6) were per] for this groups’ cases and mortality rate was 26,6%.

Conclusion: The advances of medical technologies up\ the diagnosis, treatment, and follow-up of childhood ga testinal perforations. However, today, gastrointestinal rations still remains to be a life-threatening condit childhood. Early diagnosis and appropriate surgical vention are the most important factors for decreasing , lity rates of this problem.

Keywords: Gastrointestinal perforation, children, peri

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