OBJECTIVE: To study @entity27104 , a progressive, rapid and high mortality condition, caused by @entity356 (GRAGD) and its appropriate diagnosis and treatment. METHODS: The etiology, pathology, clinical manifestations and experiences in 3 @entity1 with GRAGD were reviewed. RESULTS: Case 1: After diagnosing GRAGD and stabilizing her @entity1457 with massive fluid replacement, gastrostomy was performed. Her postoperative course was uneventful because of fasting, suction, fluid infusion, correction of @entity520 and supporting nutrition. Case 2: After diagnosing @entity356 which subsided with conservative therapy for 9 days, she suddenly had @entity27104 when she had not eaten for 6 days. She died of @entity1457 and had no chance for surgery. Case 3: The @entity1 had sudden @entity490 with severe @entity1457 for 4 days. Emergency surgery found @entity27104 and the method was the same as Case 1. The @entity1 survived but has @entity75 . Case 1 and 3 showed multifocal transmural @entity39 . CONCLUSIONS: Symptoms like @entity7298 , bulimia, changes in kind of food, X-ray showing large distended stomach and massive @entity516 were seen after @entity27104 and can help to diagnose this condition. Clinical course of @entity356 with @entity137 progresses rapidly, however subsequent @entity27104 exacerbates the @entity1457 and makes the treatment difficult treatment. It is extremely important that a laparotomy be performed at once after stabilizing @entity1457 with massive fluid replacement. Postoperative nutritional support and fluid replacement will increase survival. It is very important that when @entity356 disappears after conservative therapy, the doctor should assess carefully whether the gastric wall recovery is under way by using effective methods of examination.

@entity27104 caused by XXXX in non-neonatal @entity1 : clinical analysis of 3 cases.

@entity1 :: ('9606', 'Species') :: ['children', 'patient'] @entity137 :: ('MESH:D064420', 'Disease') :: ['toxic shock'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity75 :: ('MESH:D001927', 'Disease') :: ['brain impairment'] @entity1457 :: ('MESH:D012769', 'Disease') :: ['shock'] @entity7298 :: ('MESH:D006963', 'Disease') :: ['overeating'] @entity520 :: ('MESH:D000138', 'Disease') :: ['acidosis'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain, distention and vomiting'] @entity516 :: ('MESH:D011027', 'Disease') :: ['pneumoperitoneum'] @entity27104 :: ('MESH:D013275', 'Disease') :: ['gastric rupture'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric distention', 'acute gastric distention']
@entity356 :: (MESH:D013274,Disease) :: ['acute gastric distention']
