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Neonatal gastric perforation and non invasive mechanical ventilation

  • Author Footnotes
    1 Present address: Department of Pediatrics, Hospital Universitari Mútua Terrassa, Barcelona 08221, Spain.
    Elizabeth Domingo Lagman
    Footnotes
    1 Present address: Department of Pediatrics, Hospital Universitari Mútua Terrassa, Barcelona 08221, Spain.
    Affiliations
    Department of Neonatology, Hospital Clínic Barcelona, BCNatal-Barcelona Center for Maternal-Fetal and Neonatal Medicine, Barcelona, Spain

    Department of Neonatology, Hospital Sant Joan de Déu, BCNatal-Barcelona Center for Maternal-Fetal and Neonatal Medicine, Barcelona, Spain
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  • Miguel Alsina-Casanova
    Correspondence
    Corresponding author at: Department of Neonatology, Hospital Clínic Barcelona, BCNatal-Barcelona Center for Maternal-Fetal and Neonatal Medicine, Barcelona, Spain.
    Affiliations
    Department of Neonatology, Hospital Clínic Barcelona, BCNatal-Barcelona Center for Maternal-Fetal and Neonatal Medicine, Barcelona, Spain

    Department of Neonatology, Hospital Sant Joan de Déu, BCNatal-Barcelona Center for Maternal-Fetal and Neonatal Medicine, Barcelona, Spain
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  • Irene de Haro Jorge
    Affiliations
    Department of Pediatric Surgery, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
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  • Cristina Carrasco Carrasco
    Affiliations
    Department of Neonatology, Hospital Sant Joan de Déu, BCNatal-Barcelona Center for Maternal-Fetal and Neonatal Medicine, Barcelona, Spain
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  • Marta Teresa-Palacio
    Affiliations
    Department of Neonatology, Hospital Clínic Barcelona, BCNatal-Barcelona Center for Maternal-Fetal and Neonatal Medicine, Barcelona, Spain
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  • Author Footnotes
    1 Present address: Department of Pediatrics, Hospital Universitari Mútua Terrassa, Barcelona 08221, Spain.
      Neonatal gastric perforation (NGP) is a rare and life-threatening complication. It represents approximately 7% of all neonatal gastrointestinal perforations (GIP) [
      • Sakaria R.P.
      • Zaveri P.G.
      Neonatal gastric perforation: 14-year experience from a tertiary neonatal intensive care unit.
      ,
      • Iacusso C.
      • Boscarelli A.
      • Fusaro F.
      • Bagolan P.
      • Morini F.
      Pathogenetic and prognostic factors for neonatal gastric perforation: personal experience and systematic review of the literature.
      ]. Although some cases are idiopathic, several causes have been identified: iatrogenic (nasogastric tube insertion, mechanical ventilation), congenital abnormalities with a gastric outlet obstruction, necrotizing enterocolitis, and drugs like steroids, among others. Prematurity and low birth weight have also been identified as risk factors for NGP [
      • Sakaria R.P.
      • Zaveri P.G.
      Neonatal gastric perforation: 14-year experience from a tertiary neonatal intensive care unit.
      ,
      • Iacusso C.
      • Boscarelli A.
      • Fusaro F.
      • Bagolan P.
      • Morini F.
      Pathogenetic and prognostic factors for neonatal gastric perforation: personal experience and systematic review of the literature.
      ].
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        Neonatal gastric perforation: 14-year experience from a tertiary neonatal intensive care unit.
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