Gastric perforation

Research output: Chapter in Book/Report/Conference proceedingChapter


Gastric perforation in the neonatal period is rare; however, it continues to be associated with significant morbidity and mortality. Spontaneous neonatal gastric perforation is estimated to occur in 1 in 2900 live births1 and accounts for approximately 10%–15% of all gastrointestinal perforations in neonates and children. Gastrointestinal perforations occur more commonly in males; however, there appears to be no sex predilection for those occurring in the stomach.2 Recent series may suggest a male predominance, but this remains inconclusive.3 The incidence of gastrointestinal perforation is increasing in some populations; however, the relative incidence of gastric perforation is decreasing.4 The terminology used to describe neonatal gastric perforation has been inconsistent, and its etiology remains a topic of debate. Spontaneous or idiopathic gastric perforations refer to those with no identifiable underlying cause and account for the majority of gastric perforations in most reported series.1 5 Nevertheless, many pediatric surgeons believe that an underlying cause can be found in most cases of neonatal gastric perforation.6

Original languageEnglish (US)
Title of host publicationNewborn Surgery, Fourth Edition
PublisherCRC Press
Number of pages6
ISBN (Electronic)9781482247718
ISBN (Print)9781482247718
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Medicine(all)


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