Aim
The aim of this study is to evaluate the neonatal enterostomies performed in our clinic in the last 7 years and to discuss the complications, mortality and the causative factors.
Materials and Methods
From January 2015 to September 2021, 34 newborns who underwent enterostomy procedure as part of the treatment for a variety of intestinal disorders, medical records were reviewed retrospectively for birth week, birth weight, gender, primary disease, type of stoma, age at stoma closure, complications and mortality.
Results
Of 34 patients, 12 were female (35.3%) and 22 were male (64.7%). The mean birth weight of the patients was 2602 g (±927 g), and the average week of birth was 36 weeks (±3.2). Ileostomy was performed in 14 patients (41.2%), and colostomy was performed in 20 patients. Hirschprung’s disease is the commonest bowel anomaly with 13 patient (38.2%) requiring enterostomy and second anomaly is anorectal malformation with 8 patient (23.5%).
Complications developed in 5 patients (14.7%); 4 prolapse, 1 parastomal hernia. A statistically significant difference was found in the development of complications when birth weights were compared (p=0.038). Mortality developed in 5 patients (14.7%). When the week of birth was compared in terms of mortality, a significant difference was found between them (p=0.033).
Conclusions
Enterostomy is usually a temporary procedure in neonates and is closed when the primary disease is corrected. Considering the high risk of prolapse in infants with low birth weight, maximum care should be exercised when opening an enterostomy.