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Intestinal obstruction from gastrostomy tube in infants
186
INTERNATIONAL ABSTRACTS OF PEDIATRIC SURGERY
esophagoscopy and surgery to have stomach herniated into the chest in tubular fashion so as to simulate simple esophageal stenosis. Barrett's syndrome was simulated. The authors point out the importance of recognition of this entity. - - W . K. Sieber. INJURIES OF THE CASTRO-INTESTINAL TRACT IN CHILDREN. NOTES ON RECOGNITION AND MANAGEMENT. J. A. Hailer, Jr. Clin. Pediat. 5:476480, August 1966. Injuries of the gastro-intestinal tract are a significant occurrence in children, occurring in approximately 1O per cent of cases of blunt or penetrating trauma to the abdomen. Blunt trauma accounts for 80 per cent of serious intra-abdominal injuries, and penetrating trauma approximately 20 per cent. It is emphasized that in cases of blunt abdominal trauma external evidences of the internal injury may be entirely misleading. Penetrating injuries may result from external forces such as bullet wounds, or from internal forces such as instrumentation or foreign bodies. Vigorous intubation of the newborn infart and endoscopic perforation of the rectum are significant sources of injury. Good results may be obtained with early recognition of the injury and prompt management except in those cases wherein additional trauma to other organs may preclude survival.--D. T. Cloud.
tape, and al:-o placing a mark on the tube at the skin level. When the mark cannot be seen, the tube has passed further into the stomach or duodenum. In both patients reported, gastrostomy tube feedings were continued without indication of any abnormality, because the open catheter tip was distal to the balloon which produced the obstruction.--G. W . tlolcomb, Jr. LII~IITATIONS OF ROENTGENOGRAPHIC EXAMINATION I N TIlE DIAGNOSIS OF INFANTILE HYPERTROPHIC PYLOPJC STENOSIS. G. L. Larsen. Surgery 60:768-772, September 1966. The author presents data in 69 cases of hypertrophic pyloric stenosis to support the position that accurate diagnosis can be made in most instances by history and physical examination alone, and roentgenographic studies routinely are both unnecessary and undesirable. In 26 of the patients presented roentgenographic studies were performed. Apploximately 15 per cent of these studies (4 cases) were interpreted as normal. In each of these cases the pyloric tumor was palpable. The author urges careful clinical evaluation and the avoidance of roentgenographic studies in cases of suspected hypertrophic pyloric stenosis.--D. T. ClouII. ANNULAR PANCREAS IN THE NEW BORN; EXPERIENCE WITH 25 OPEnATED CASES. H. Sauer. Z. Kinder. Chir.
The author reports 25 cases of annular pancreas between 1954 and 1966. Of patients presented all had signs of high intestinal obstruction. Although the bile duct usually terminates distal to the annular pancreas into the duodenum, bile was present in the stomach in 8 out of 22 A 2 year old girl with scald burns of 40 per cases. Jaundice was present in 6 cases. In one cent of the body survived surgical closure of a third of the patients the radiograph showed a perforated gastric ulcer on the eighteenth post"double bubble" phenomenum. The treatment burn day. Indication for operation was abdominal is duodeno-duodenostoiny which is preferred to distension and pneumoperitoneum. all other methods and which can be done after There are only 6 previously reported cases of lateral mobilisation over a transanastamotie feedCurling's ulcers treated operatively; 4 survived. ing tube. 20 of the children were operated by - - R . Spencer. this method. The as-oc.atinn of other congenital abnormalities is discussed. In 3 cases there was a INTESTINAL OBSTRUCTION FROiXs GASTROSTOA/IY membranous duodenal atresia in association with TUBE IN INFANTS. E. Fonkalsrud. J. Pediat. the annular pancreas. 6 of the 25 children died. 69:809-811, November 1966. --S. Hofmann and H. B. Eck~,tein. This report summarizes experiences with 2 infants who developed duodenal obstruction bePERFORATION AND HEMORRHAGE AFTER GASTROcause of passage of the gastrostomy balloon beINTESTINAL MUGOSAL BIOPSY IN A CHILD. W. yond the pylorus. The author advises securing G. McDonald. Gastroenterology 51:390-392, the gastrostomy tube to the abdominal wall with September 1966. SURGICAL MANA('EMENT OF CURLING'S ULCER IN CHILDREN. A. Shaw, F. Coymonds, J. Bush and L. Wardlaw. J.A.M.A. 197:922-923, September 12, 1966.
INTERNATIONAL ABSTRACTS OF PEDIATRIC SURGERY
esophagoscopy and surgery to have stomach herniated into the chest in tubular fashion so as to simulate simple esophageal stenosis. Barrett's syndrome was simulated. The authors point out the importance of recognition of this entity. - - W . K. Sieber. INJURIES OF THE CASTRO-INTESTINAL TRACT IN CHILDREN. NOTES ON RECOGNITION AND MANAGEMENT. J. A. Hailer, Jr. Clin. Pediat. 5:476480, August 1966. Injuries of the gastro-intestinal tract are a significant occurrence in children, occurring in approximately 1O per cent of cases of blunt or penetrating trauma to the abdomen. Blunt trauma accounts for 80 per cent of serious intra-abdominal injuries, and penetrating trauma approximately 20 per cent. It is emphasized that in cases of blunt abdominal trauma external evidences of the internal injury may be entirely misleading. Penetrating injuries may result from external forces such as bullet wounds, or from internal forces such as instrumentation or foreign bodies. Vigorous intubation of the newborn infart and endoscopic perforation of the rectum are significant sources of injury. Good results may be obtained with early recognition of the injury and prompt management except in those cases wherein additional trauma to other organs may preclude survival.--D. T. Cloud.
tape, and al:-o placing a mark on the tube at the skin level. When the mark cannot be seen, the tube has passed further into the stomach or duodenum. In both patients reported, gastrostomy tube feedings were continued without indication of any abnormality, because the open catheter tip was distal to the balloon which produced the obstruction.--G. W . tlolcomb, Jr. LII~IITATIONS OF ROENTGENOGRAPHIC EXAMINATION I N TIlE DIAGNOSIS OF INFANTILE HYPERTROPHIC PYLOPJC STENOSIS. G. L. Larsen. Surgery 60:768-772, September 1966. The author presents data in 69 cases of hypertrophic pyloric stenosis to support the position that accurate diagnosis can be made in most instances by history and physical examination alone, and roentgenographic studies routinely are both unnecessary and undesirable. In 26 of the patients presented roentgenographic studies were performed. Apploximately 15 per cent of these studies (4 cases) were interpreted as normal. In each of these cases the pyloric tumor was palpable. The author urges careful clinical evaluation and the avoidance of roentgenographic studies in cases of suspected hypertrophic pyloric stenosis.--D. T. ClouII. ANNULAR PANCREAS IN THE NEW BORN; EXPERIENCE WITH 25 OPEnATED CASES. H. Sauer. Z. Kinder. Chir.
The author reports 25 cases of annular pancreas between 1954 and 1966. Of patients presented all had signs of high intestinal obstruction. Although the bile duct usually terminates distal to the annular pancreas into the duodenum, bile was present in the stomach in 8 out of 22 A 2 year old girl with scald burns of 40 per cases. Jaundice was present in 6 cases. In one cent of the body survived surgical closure of a third of the patients the radiograph showed a perforated gastric ulcer on the eighteenth post"double bubble" phenomenum. The treatment burn day. Indication for operation was abdominal is duodeno-duodenostoiny which is preferred to distension and pneumoperitoneum. all other methods and which can be done after There are only 6 previously reported cases of lateral mobilisation over a transanastamotie feedCurling's ulcers treated operatively; 4 survived. ing tube. 20 of the children were operated by - - R . Spencer. this method. The as-oc.atinn of other congenital abnormalities is discussed. In 3 cases there was a INTESTINAL OBSTRUCTION FROiXs GASTROSTOA/IY membranous duodenal atresia in association with TUBE IN INFANTS. E. Fonkalsrud. J. Pediat. the annular pancreas. 6 of the 25 children died. 69:809-811, November 1966. --S. Hofmann and H. B. Eck~,tein. This report summarizes experiences with 2 infants who developed duodenal obstruction bePERFORATION AND HEMORRHAGE AFTER GASTROcause of passage of the gastrostomy balloon beINTESTINAL MUGOSAL BIOPSY IN A CHILD. W. yond the pylorus. The author advises securing G. McDonald. Gastroenterology 51:390-392, the gastrostomy tube to the abdominal wall with September 1966. SURGICAL MANA('EMENT OF CURLING'S ULCER IN CHILDREN. A. Shaw, F. Coymonds, J. Bush and L. Wardlaw. J.A.M.A. 197:922-923, September 12, 1966.