2018
DOI: 10.12998/wjcc.v6.i16.1101
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Complications of newborn enterostomies

Abstract: AIMTo evaluate the occurrence and severity of enterostomy complications in newborns suffering from different intestinal disorders.METHODSA 10-year retrospective cohort study (2008-2017) investigated newborns that underwent enterostomy formation and reversal for different intestinal disorders. Only infants less than 28 d old at the time of enterostomy creation were included in the study (corrected age was applied in the cases of preterm neonates). The patients were divided into two groups according to their und… Show more

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Cited by 21 publications
(29 citation statements)
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“…It can be applied as in emergency situations such as intestinal perforation, necrosis and obstruction. [1][2][3][4] It can also be performed as a palliative surgery until corrective surgery is performed in some congenital anomalies such as anorectal malformations (ARMs), Hirschprung's disease (HD), cloacal exstrophy. [1,2,5] Stoma may be necessary at any level of the gastrointestinal tract.…”
Section: Introductionmentioning
confidence: 99%
“…It can be applied as in emergency situations such as intestinal perforation, necrosis and obstruction. [1][2][3][4] It can also be performed as a palliative surgery until corrective surgery is performed in some congenital anomalies such as anorectal malformations (ARMs), Hirschprung's disease (HD), cloacal exstrophy. [1,2,5] Stoma may be necessary at any level of the gastrointestinal tract.…”
Section: Introductionmentioning
confidence: 99%
“…Temporary enterostomies following bowel resection are a common procedure in the surgical treatment of severe gastrointestinal diseases, such as the necrotizing enterocolitis (NEC)—one of the most common and devastating neonatal surgical emergencies ( 1 3 ). Thus, temporary enterostomies are often performed on premature and newborn infants, which are predisposed to severe fluid losses and electrolyte disturbances ( 1 , 4 ). Consequently, these infants often suffer from a total body sodium depletion (Na + <10 mEq/L in spot urine) and severe hydrogencarbonate losses (HCO 3− <20 mEq/L in serum), ultimately leading to a failure to thrive (weight <5th percentile) and a metabolic acidosis ( 5 – 8 ).…”
Section: Introductionmentioning
confidence: 99%
“…Consequently, these infants often suffer from a total body sodium depletion (Na + <10 mEq/L in spot urine) and severe hydrogencarbonate losses (HCO 3− <20 mEq/L in serum), ultimately leading to a failure to thrive (weight <5th percentile) and a metabolic acidosis ( 5 – 8 ). Weight faltering following stoma formation poses a devastating enterostomy-associated complication, correlated with a higher CDC-grade, need for reoperation, and early stoma reversal ( 4 ). Oral sodium supplementation has been reported to support these infants in regaining weight ( 5 , 6 ).…”
Section: Introductionmentioning
confidence: 99%
“…Stoma creation and primary anastomosis have been used for decades with various advantages and disadvantages of each approach. [1][2][3][4] Stoma creation is usually required in cases with generalized peritonitis and when perfusion and viability of distal parts of the intestine are questionable during laparotomy. In these life-threatening situations stoma formation results in improvement of survival.…”
mentioning
confidence: 99%
“…Other disadvantages include stomaassociated complications, such as high-output losses, electrolyte derangements, stenosis, skin excoriation, prolapse or retraction of the stoma, and parastomal protrusion or internal herniation through a mesenteric defect. [1][2][3][4] Primary anastomosis should be performed in a neonate who is stable and has localized bowel disease. 6 7 Potential problems with primary anastomosis are anastomotic leak, peritonitis, anastomotic stricture, stasis, and bacterial overgrowth.…”
mentioning
confidence: 99%