Stoma recycling in a surgical neonatal unit: Prevalence, challenges, and review of nursing attitudes

Coles, Vanessa; Nwachukwu, Ijeoma; Danesh, Laila; Harnetty, Sarah; Sion, Gemma; Upadhyaya, Manasvi

doi:10.1016/j.jpedsurg.2022.03.017

Cited by 1 publication

(1 citation statement)

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“…No published RCTs were found. Finally, 16 observational studies (n=623) were included in the systematic review; out of which 10 had a comparator group (n=498), hence included in the meta-analysis 16–25. One study was a conference abstract17 and the remaining 15 were full published journal articles.…”

Section: Resultsmentioning

confidence: 99%

Mucous fistula refeeding in neonates: a systematic review and meta-analysis

Solís-García

Jasani

2023

Arch Dis Child Fetal Neonatal Ed

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Background and objectiveMucous fistula refeeding (MFR) aims to maximise bowel function when an ostomy is active after abdominal surgery, by introducing the proximal ostomy effluent into the distal mucous fistula to maintain intestinal physiology. The aim of the study was to assess the effectiveness and complications of MFR in neonates following abdominal surgery.Design, setting and interventionsSystematic review and meta-analysis of randomised controlled trials and observational studies. PubMed, Embase, Cochrane and CINAHL were searched until June 2022 for studies including neonates with ostomy receiving MFR compared with neonates with ostomy without MFR.OutcomesThe primary outcome was duration of parenteral nutrition. Secondary outcomes were time to full enteral feeds, rates of cholestasis, peak total serum bilirubin, sepsis, time to reanastomosis and length of hospital stay.ResultsA total of 16 observational studies were included (n=623). Compared with comparator group, neonates who received MFR had fewer days of parenteral nutrition (mean difference 37.17 days, 95% CI −63.91 to −10.4, n=244, 5 studies, GRADE: low). In addition, neonates who received MFR had lower rates of cholestasis, shorter time to reach full feeds and shorter hospital stay.ConclusionLow certainty of evidence suggests that MFR is associated with shorter duration of parenteral nutrition in neonates following abdominal surgery and stoma creation. Results of ongoing and future randomised trials may help to corroborate these findings.

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Section: Resultsmentioning

confidence: 99%