Segmental intestinal dilatation associated with omphalocele

Molinaro, Francesco; Angotti, Rossella; Bindi, Elena; Pellegrino, Chiara; Messina, Mario; Aglianò, Margherita

doi:10.1016/j.epsc.2017.08.011

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…9 Furthermore, the improvement of medical management of extremely low birth weight and premature neonates have been resulted both in an increased survival of these babies and in a raise of surgical conditions prematurity linked that may need stomas. 10 This kind of surgical technique raised a role of critical importance in the management of neonates affected by abdominal surgical diseases. Especially in NEC, an ileostomy permits to put the bowel at rest and allows the patient to recover from his beginning condition.…”

Section: Discussionmentioning

confidence: 99%

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Recycling of Stoma Losses: A Good Practice for Neonates with High Output Stomas—Our Experience and Comparison with Literature

Bindi

Molinaro

Ferrara

et al. 2020

Journal of Neonatology

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Introduction: The recycling of proximal stoma losses is known as a good practice to manage patients with high output stoma. In our center, we introduced this practice about 10 years ago. We revised our series before and after recycling protocol and we reviewed the literature. Methods: This is a retrospective study. We included all neonates who underwent ileostomy between 2000 and 2019. They were divided into two groups, Group A and Group B, before and after the introduction of recycling of stoma losses. Demographic data were included. Outcomes evaluated to demonstrate the efficacy of stools recycling were: weight at the time of anastomosis and at discharge, length of total parenteral nutrition, and time (expressed in days) between anastomosis and passage of the stools. Data were analyzed using Student’s t-test. P values <.05 were considered significant. Results: A total of 85 patients (29 females, 56 males) were included—Group A: 20 (24%) (13 males/7 females); Group B: 65 (76%) (43 males/22 females); Group A: 12/enterocolitis, 5/meconium-related ileum (MRI), 3/single intestinal perforation; Group B: 45 enterocolitis, 10/MRI, 8/single intestinal perforation, 1/an ileal atresia, 1/meconial peritonitis. Outcome about weight at anastomosis and discharge and about time of canalization were significant. Conclusion: We believe that the recycling of stoma losses is a safe and effective practice in neonates with ileostomy. Our technique of recycling is simple and practical. The benefit/risk rate is certain, in our opinion, in favor of the benefits as showed from our data.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Recycling of Stoma Losses: A Good Practice for Neonates with High Output Stomas—Our Experience and Comparison with Literature

Bindi

Molinaro

Ferrara

et al. 2020

Journal of Neonatology

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“…Our literature review revealed only 17 reported cases of omphalocele associated with SID. In the majority of these cases, SID was found during omphalocele repair at birth [ 10 ]. However, in a few cases, such as in our patient, this GI disorder remained undiagnosed until symptoms manifested later in life.…”

Section: Discussionmentioning

confidence: 99%

Segmental intestinal dilatation associated with ileal gastric heterotopia in a young woman

Rich

Johnson

et al. 2018

Journal of Surgical Case Reports

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Segmental intestinal dilatation (SID) is a rare gastrointestinal disorder characterized by marked bowel dilatation and can result in signs of intestinal obstruction, abdominal pain and gastrointestinal bleeding. SID is seen most commonly in pediatric patients, with most cases being reported in neonates and infants. Definitive treatment is resection of the dilated segment of bowel with primary anastomosis. This article describes a rare case of SID in an adult patient—a 26-year-old female who presented with chronic abdominal pain. The patient experienced complete resolution of symptoms following surgical resection.

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Segmental intestinal dilatation associated with omphalocele

Cited by 2 publications

References 11 publications

Recycling of Stoma Losses: A Good Practice for Neonates with High Output Stomas—Our Experience and Comparison with Literature

Recycling of Stoma Losses: A Good Practice for Neonates with High Output Stomas—Our Experience and Comparison with Literature

Segmental intestinal dilatation associated with ileal gastric heterotopia in a young woman

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