Mustafa OKUMUŞ, Tansu SALMAN, Alaaddin ÇELİK, Abdülkerim TEMİZ, Hüseyin ÖZBEY, Feryal GÜN

Yenidoğanın gastrointestinal perforasyonları

Amaç: Yenidoğanın gastrointestinal perforasyonlarıyla ilgili yirmi yıllık deneyimimizi ve zaman içindeki değişiklikleri ortaya koymak. Yöntem: Kliniğimizde tedavi ve takip edilen 93 hastanın kayıtları tarandı ve yıllara göre iki grup oluşturuldu. Her iki grup etiyoloji, başvuru şekli, uygulanan tedavi ve sonuçları ile karşılaştırıldı. Bulgular: Her iki grup gestasyonel yaş, doğum ağırlığı, perforasyon zamanı ve yeri, tedavi şekli ve mortalite açısından karşılaştırıldığında, prematürite dışında istatiksel olarak anlamlı bir fark saptanmadı. Her iki grupta da abdominal distansiyon en sık rastlanan muayene bulgusu, mekanik intestinal obstrüksiyon en sık perforasyon nedeniydi. Perforasyonlar en sık ileumdaydı ve hastaların çoğuna primer onarım yapılmıştı. Genel mortalite 1. grupta % 60.5 olarak saptanırken, 2. grupta % 45.5 olarak bulundu. Sonuç: Yenidoğanın gastrointestinal perforasyonları, yoğun bakım şartlarındaki tüm gelişmelere rağmen yüksek ölüm hızını halen korumaktadır.

Anahtar Kelimeler:

Gastrointestinal hastalıklar, Bağırsak delinmesi, Süt çocuğu, yenidoğan, Enterokolit, nekrotize, Geriyedönük çalışma

Gastrointestinal perforations in newborn

Aim: To analyze our experience with perforations of the gastrointestinal tract in the newborn. Method: The records of 93 cases were reviewed and two groups were formed according to years. Etiology, presentation, mode of treatment and outcome of these two groups were compared. Results: There were no significant difference between the groups except prematurity when the birthweight, time and site of perforation, treatment modality and mortality rates were compared. In both groups, abdominal distention was the most frequent symptom and mechanical obstruction was the major cause of the perforations. Perforations were mostly found at ileum and primary repair was performed in most of the patients. The overall mortality rates were 60.5 % and 45.5 % in the first and second groups respectively, without any statistically significant difference. Conclusion: Neonatal gastrointestinal perforations continue to be associated with high mortality rates, despite increasingly sophisticated means of neonatal care.

Keywords:

Gastrointestinal Diseases, Intestinal Perforation, Infant, Newborn, Enterocolitis, Necrotizing, Retrospective Studies,

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