Colon perforation due to pathologic aerophagia in an intellectually disabled child

dc.contributor.authorBasaran, Umit N.
dc.contributor.authorInan, Mustafa
dc.contributor.authorAksu, Burhan
dc.contributor.authorCeylan, Turan
dc.date.accessioned2024-06-12T10:58:06Z
dc.date.available2024-06-12T10:58:06Z
dc.date.issued2007
dc.departmentTrakya Üniversitesien_US
dc.description.abstractAerophagia, characterized by symptoms related to repetitive swallowing of air, is a functional gastrointestinal disorder. In some cases, severe aerophagia causes massive bowel distention and leads to volvulus, ileus, and even intestinal necrosis and perforation. A 10-year-old intellectually disabled boy was referred to our unit due to severe abdominal distention, bilious vomiting, no passage of feces and flatus during the previous 3 days. He had experienced episodes of severe abdominal distention and flatulence over the past 2-3 years. In the exploratory laparotomy, two old colonic perforations were found. Splenic flexura resection and diverting colostomy were performed. Rectal biopsy showed ganglionic architecture. During the fifth postoperative month, he was admitted to the emergency unit with severe abdominal distention. During this visit, we observed him swallowing air. For this reason, his primary illness was diagnosed as a pathologic aerophagia. The colostomy was closed 11 months following the first operation. His parents did not accept gastrostomy as a desufflator. For this reason, they were taught nasogastric tube installation for gastric distention. Briefly, if abdominal distention increases during the course of the day and increased flatus is observed during sleep, aerophagia could be the primary pathology. If aerophagia could cause complications, gastrostomy should be applied. If the parents refuse gastrostomy, the parents could perform nasogastric tube drainage.en_US
dc.identifier.doi10.1111/j.1440-1754.2007.01190.x
dc.identifier.endpage712en_US
dc.identifier.issn1034-4810
dc.identifier.issue10en_US
dc.identifier.pmid17854458en_US
dc.identifier.scopus2-s2.0-34548581064en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage710en_US
dc.identifier.urihttps://doi.org/10.1111/j.1440-1754.2007.01190.x
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19942
dc.identifier.volume43en_US
dc.identifier.wosWOS:000249430500013en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBlackwell Publishingen_US
dc.relation.ispartofJournal Of Paediatrics And Child Healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectColon Perforationen_US
dc.subjectAerophagiaen_US
dc.subjectChildhooden_US
dc.titleColon perforation due to pathologic aerophagia in an intellectually disabled childen_US
dc.typeArticleen_US

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