Cluster of Gastric Lactobezoar in One NICU: 7 Cases in 37 Days, Consequence of Aggressive Enteral Nutrition?

Olivier Fléchelles, Elise Daudens-Vaysse, Hélène François-Coridon, Jerome Pignol,
Corinne Locatelli-Jouans Sophie Ketterer-Martinon and Emmanuel Jolivet

Department of Pediatrics and Neonatal ICU, University Hospital of Martinique, France Santé publique France, French National Public Health Agency, France Department of Pediatrics Surgery, University Hospital of Martinique, France Regional Health Agency (ARS) of Martinique, France

^*Correspondance to: Olivier Fléchelles 

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Abstract:

Gastric Lactobezoar (GLB) is a conglomeration of milk and mucus that may cause gastric outlet obstruction. Seven cases appeared in 37-day period in premature babies and one died. GLB appeared on average 18 days postnatally, when enteral feeding reached 130 ml/kg/day. The first symptoms were seen 2.4 days before diagnosis, including abdominal distension, vomiting and regurgitation of curd milk. Diagnosis was made by X-ray in each case. Treatment was medical for three cases and surgical in four cases. Prematurity, consumption of Premature Formula milk (PF), enhanced caloric density, and combining PF with medium chain triglycerides were the main predisposing factors.

Keywords:

Bezoar; Newborn; West indies; Enterocolitis; Necrotizing; Enteral nutrition

Cite the Article:

Fléchelles O, Daudens-Vaysse E, François-Coridon H, Pignol J, Locatelli- Jouans C, Ketterer-Martinon S, et al. Cluster of Gastric Lactobezoar in One NICU: 7 Cases in 37 Days, Consequence of Aggressive Enteral Nutrition?. Ann Clin Case Rep. 2019; 4: 1767.