Riccardo Coletta
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
Authors
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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Licence
http://creativecommons.org/licenses/by/4.0/
Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/
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