MORPHOLOGICAL DIAGNOSE OF GASTRO-INTESTINAL PERFORATIONS IN NEWBORNS

The objective – to study and analyze morphological differences of gastro-intestinal perforations in newborns. Materials and methods. The causes and morphogenesis of gastro-intestinal perforations in 49 operated newborns are presented in this article. Results and discussions. Clinical and morphological differences between perforated necrotic enterocolitis (NEC) and spontaneous gastro-intestinal perforations (SGIP) are discussed. The analyses of morphological findings showed the following differences between perforations in case of NEC and SGIP: congenital absence or defect of the muscular layer in the intestines or stomach wall in case of SGIP. NEC perforations have extensive necrosis of the intestinal or stomach wall. Morphogenesis of gastro-intestinal perforations in newborns is a basis to prescribe correct medical tactic and choice of sur gical method. Conclusions. SGIP of the gastro-intestinal system is an independent disease and has a essential clinical and morphological differences and as well as surgical treatment.