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Minimizing Enterostomy Complication in Neonates, Lessons Learnt from Three European Tertiary Centres

Coletta, Riccardo; Zulli, Andrea; O'Shea, K; Mussi, Elisa; Bianchi, Adrian; Morabito, Antonino

Minimizing Enterostomy Complication in Neonates, Lessons Learnt from Three European Tertiary Centres Thumbnail


Authors

Riccardo Coletta

Andrea Zulli

K O'Shea

Elisa Mussi

Adrian Bianchi

Antonino Morabito



Contributors

J Schleef
Editor

Abstract

Introduction. Stoma formation in neonates is often a life-saving procedure across a variety of conditions but is still associated with significant morbidity. Tube stoma technique was originally described for short bowel patients, but in selected cases of neonates this approach could prevent the incidence of stoma-related complications. The aim of the study was to evaluate the safety and utility of tube stomas as an alternative to conventional enterostomy in the neonatal population. Material and Methods. A retrospective multicentre analysis of neonates undergoing emergency laparotomy and tube stoma formation between 2005 and 2017 was performed. Tube stoma complications were analysed. The investigation focused on stricture, skin lesion, enteric fistula and prolapse. Results. Thirty-seven neonates underwent tube stoma fashioning during the study period. Tube-stoma complications were limited to three patients (8.1%), with two children (5.4%) requiring additional stoma surgery during the first 30 days because of an enterocutaneous fistula, and one child (2.7%) for bowel stenosis. Conclusions. In select neonates, such as those with proximal enteric stomas, the tube stoma avoids some of the commonly encountered complications (prolapse, skin excoriation). Further prospective studies are needed to validate these findings in order for us to recommend this technique as superior.

Citation

Coletta, R., Zulli, A., O'Shea, K., Mussi, E., Bianchi, A., & Morabito, A. (2022). Minimizing Enterostomy Complication in Neonates, Lessons Learnt from Three European Tertiary Centres. Children, 9(2), 162. https://doi.org/10.3390/children9020162

Journal Article Type Article
Acceptance Date Jan 21, 2022
Online Publication Date Jan 27, 2022
Publication Date Jan 27, 2022
Deposit Date Mar 11, 2022
Publicly Available Date Mar 11, 2022
Journal Children
Publisher MDPI
Volume 9
Issue 2
Pages 162
DOI https://doi.org/10.3390/children9020162
Publisher URL https://doi.org/10.3390/children9020162
Related Public URLs https://www.mdpi.com/journal/children
Additional Information Additional Information : ** From PubMed via Jisc Publications Router **Journal IDs: pissn 2227-9067 **Article IDs: pubmed: 35204883; pii: children9020162; pmc: PMC8870697 **History: accepted 21-01-2022; revised 19-01-2022; submitted 29-12-2021

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