Postoperative gastric rupture in children with cerebral palsy.

TitlePostoperative gastric rupture in children with cerebral palsy.
Publication TypeJournal Article
Year of Publication2005
AuthorsRegister BC, Hansel DE, Hutchins GM, Levey EB, Sponseller PD, Leet AI
JournalJournal of pediatric orthopedics
Volume25
Issue3
Pagination280-2
Date Published2005 May-Jun
Abstract

Children with cerebral palsy (CP) develop difficulties with swallowing and bowel motility, although the underlying etiology of these disorders is unclear. The authors identified three children treated at their institution in the past 6 years who developed severe gastrointestinal dysfunction leading to gastric rupture after orthopaedic surgery; all three had a history that included CP (subtype spastic quadriparesis), low cognitive function, and gastrointestinal motility disorders. All three cases were fatal; in two patients the diagnosis was made at autopsy. No case of postoperative gastric rupture has been identified in children undergoing orthopaedic surgery without concomitant CP at the authors' institution. In this case series, they describe the preoperative and postoperative course of these three children. Since the only cure for gastric rupture is prompt surgical attention, orthopaedists should consider gastric rupture in the differential diagnosis of a postsurgical CP patient who becomes acutely unstable.

Alternate JournalJ Pediatr Orthop