Advances in pediatric surgery
- Volume 15 Issue 1
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- Pages.18-26
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- 2009
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
Experience with Enterostomy Closure in Very Low Birth Weight Infants
극소 저출생 체중아에서 조성한 장루의 복원 경험
- Shin, Hee-Chul (Department of Pediatric Surgery, Seoul National University Children's Hospital) ;
- Moon, Suk-Bae ;
- Lee, Seong-Cheol (Department of Pediatric Surgery, Seoul National University Children's Hospital) ;
- Jung, Sung-Eun (Department of Pediatric Surgery, Seoul National University Children's Hospital) ;
- Park, Kwi-Won (Department of Pediatric Surgery, Seoul National University Children's Hospital)
- Received : 2009.04.22
- Accepted : 2009.07.08
- Published : 2009.06.30
Abstract
The survival of Very Low Birth Weight (VLBW) infants has been improved with the advancement of neonatal intensive care. However, the incidence of accompanying gastrointestinal complications such as necrotizing enterocolitis has also been increasing. In intestinal perforation of the newborn, enterostomy with or without intestinal resection is a common practice, but there is no clear indication when to close the enterostomy. To determine the proper timing of enterostomy closure, the medical records of 12 VLBW infants who underwent enterostomy due to intestinal perforation between Jan. 2004 and Jul. 2007 were reviewed retrospectively. Enterostomy was closed when patients were weaned from ventilator, incubator-out and gaining adequate body weight. Pre-operative distal loop contrast radiographs were obtained to confirm the distal passage and complete removal of the contrast media within 24-hours. Until patients reached oral intake, all patients received central-alimentation. The mean gestational age of patients was