Stress Duodenal Ulcer Presenting as Hematochezia in a Neonate

Rimjhim Shrivastava; Mukesh Rathore; Ravinder Goyal; BR Thapa

Article Details

Stress Duodenal Ulcer Presenting as Hematochezia in a Neonate

Authors:

Rimjhim Shrivastava | Mukesh Rathore | Ravinder Goyal | BR Thapa

Publisher:

Bilal YILDIZ

Journal:

Journal of Pediatric Sciences 2013 Vol.5 Issue 0

Document Type:

Article

Publication Date:

5/2013

Document Language:

English

Document ID (Org No.):

2000743434

Frequency:

Bi-Annual

eISSN:

1309-1247

Abstract:

 

Background
Primary duodenal ulcers are very rare in children under 10 years of age but stress induced ulceration in the stomach occurs more often in the neonatal period due to  birth asphyxia, prolonged labour, caesarean deliveries, instrumentations, respiratory distress syndrome and sepsis. These present as  acute  onset of gastrointestinal bleed  commonly as altered gastric aspirate, hematemesis or melena.
Aim
Management of a neonate with stress ulcer presenting as hematochezia
Methods
Upper Gastrointestinal Endoscopy (UGIE) done which revealed a large ,clean based ulcer in the antero-superior wall of the first part of the duodenum. Child was treated with lansoprazole.
Result 
The use of lansoprazole resulted in  the complete healing of the ulcer after 7 days of the therapy.
Conclusion
Stress peptic ulcers should be suspected in a neonate presenting with massive gastrointestinal bleeding after difficult delivery and birth asphyxia. UGIE is mandatory to rule out lesions bleeding from stomach or duodenum or both.

Article Details

Stress Duodenal Ulcer Presenting as Hematochezia in a Neonate

Authors: Rimjhim Shrivastava | Mukesh Rathore | Ravinder Goyal | BR Thapa

Publisher: Bilal YILDIZ

Journal: Journal of Pediatric Sciences 2013 Vol.5 Issue 0

Document Type: Article

Publication Date: 5/2013

Document Language: English

Document ID (Org No.): 2000743434

Frequency: Bi-Annual

eISSN: 1309-1247

Issues

Authors:

Rimjhim Shrivastava | Mukesh Rathore | Ravinder Goyal | BR Thapa

Publisher:

Bilal YILDIZ

Journal:

Journal of Pediatric Sciences 2013 Vol.5 Issue 0

Document Type:

Article

Publication Date:

5/2013

Document Language:

English

Document ID (Org No.):

2000743434

Frequency:

Bi-Annual

eISSN:

1309-1247