Timing and outcome of stoma closure in very low birth weight infants with surgical intestinal disorders

doi:10.1007/s00595-017-1498-6

. 2017 Aug;47(8):1001-1006.

doi: 10.1007/s00595-017-1498-6. Epub 2017 Feb 28.

Timing and outcome of stoma closure in very low birth weight infants with surgical intestinal disorders

Kyoko Mochizuki¹, Masahiro Hayakawa², Naoto Urushihara³, Hiromu Miyake³, Akiko Yokoi⁴, Jun Shiraishi⁵, Hideshi Fujinaga⁶, Kensuke Ohashi⁷, Genshiro Esumi⁸, Satoko Ohfuji⁹, Shintaro Amae¹⁰, Toshihiro Yanai¹¹, Taizo Furukawa¹², Yuko Tazuke¹³, Kyoko Minagawa¹⁴, Hiroomi Okuyama¹³

Affiliations

¹ Department of Surgery, Kanagawa Children's Medical Center, 2-138-4 Mutsukawa, Minami-ku, Yokohama, 232-0066, Japan. kmochizuki@kcmc.jp.
² Division of Neonatology, Center for Maternal-Neonatal Care, Nagoya University Hospital, Nagoya, Japan.
³ Department of Pediatric Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.
⁴ Department of Pediatric Surgery, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
⁵ Department of Neonatology, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan.
⁶ Division of Neonatology, Center for Maternal-Fetal and Neonatal Medicine, National Center for Child Health and Development, Tokyo, Japan.
⁷ Department of Pediatric Surgery, Nihon University School of Medicine, Tokyo, Japan.
⁸ Department of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
⁹ Department of Public Health, Osaka University Faculty of Medicine, Osaka, Japan.
¹⁰ Department of Pediatric Surgery, Miyagi Children's Hospital, Sendai, Japan.
¹¹ Department of Pediatric Surgery, Ibaraki Children's Hospital, Mito, Japan.
¹² Department of Pediatric Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
¹³ Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
¹⁴ Department of Pediatrics, Hyogo College of Medicine, Hyogo, Japan.

PMID: 28247106
DOI: 10.1007/s00595-017-1498-6

Timing and outcome of stoma closure in very low birth weight infants with surgical intestinal disorders

Kyoko Mochizuki et al. Surg Today. 2017 Aug.

. 2017 Aug;47(8):1001-1006.

doi: 10.1007/s00595-017-1498-6. Epub 2017 Feb 28.

Authors

Affiliations

¹ Department of Surgery, Kanagawa Children's Medical Center, 2-138-4 Mutsukawa, Minami-ku, Yokohama, 232-0066, Japan. kmochizuki@kcmc.jp.
² Division of Neonatology, Center for Maternal-Neonatal Care, Nagoya University Hospital, Nagoya, Japan.
³ Department of Pediatric Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.
⁴ Department of Pediatric Surgery, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
⁵ Department of Neonatology, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan.
⁶ Division of Neonatology, Center for Maternal-Fetal and Neonatal Medicine, National Center for Child Health and Development, Tokyo, Japan.
⁷ Department of Pediatric Surgery, Nihon University School of Medicine, Tokyo, Japan.
⁸ Department of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
⁹ Department of Public Health, Osaka University Faculty of Medicine, Osaka, Japan.
¹⁰ Department of Pediatric Surgery, Miyagi Children's Hospital, Sendai, Japan.
¹¹ Department of Pediatric Surgery, Ibaraki Children's Hospital, Mito, Japan.
¹² Department of Pediatric Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
¹³ Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
¹⁴ Department of Pediatrics, Hyogo College of Medicine, Hyogo, Japan.

PMID: 28247106
DOI: 10.1007/s00595-017-1498-6

Abstract

Purpose: Very low birth weight infants (VLBWIs) are at risk of surgical intestinal disorders including necrotizing enterocolitis (NEC), focal intestinal perforation (FIP), and meconium-related ileus (MRI). We conducted this study to verify whether the timing of stoma closure and that of enteral nutrition establishment after stoma closure in VLBWIs differ among the most common disorders.

Methods: A retrospective multicenter study was conducted at 11 institutes. We reviewed the timing of stoma closure and enteral nutrition establishment in VLBWIs who underwent stoma creation for intestinal disorders.

Results: We reviewed the medical records of 73 infants: 21 with NEC, 24 with FIP, and 25 with MRI. The postnatal age at stoma closure was 107 (28-359) days for NEC, 97 (25-302) days for FIP, and 101 (15-264) days for MRI (p = 0.793), and the postnatal age at establishment of enteral nutrition was 129 (42-381) days for NEC, 117 (41-325) days for FIP, and 128 (25-308) days for MRI (p = 0.855). The body weights at stoma closure were 1768 (620-3869) g for NEC, 1669 (1100-3040) g for FIP, and 1632 (940-3776) g (p = 0.614) for MRI. There were no significant differences among the three groups.

Conclusions: The present study revealed that the time and body weights at stoma closure and the postoperative restoration of bowel function in VLBWIs did not differ among the three diseases.

Keywords: Focal intestinal perforation; Meconium-related ileus; Necrotizing enterocolitis; Stoma closure; Very low birth weight infants.

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[1] Pediatr Int. 2011 Dec;53(6):887-91 - PubMed

[2] Pediatr Int. 2011 Dec;53(6):887-91 - PubMed

[3] J Pediatr Surg. 2009 May;44(5):924-7 - PubMed

[4] J Pediatr Surg. 2009 May;44(5):924-7 - PubMed

[5] J Pediatr Surg. 2012 Apr;47(4):658-64 - PubMed

[6] J Pediatr Surg. 2012 Apr;47(4):658-64 - PubMed

[7] J Pediatr Surg. 2008 Sep;43(9):1755-60 - PubMed

[8] J Pediatr Surg. 2008 Sep;43(9):1755-60 - PubMed

[9] J Pediatr Surg. 2010 Feb;45(2):319-22; discussion 323 - PubMed

[10] J Pediatr Surg. 2010 Feb;45(2):319-22; discussion 323 - PubMed

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Timing and outcome of stoma closure in very low birth weight infants with surgical intestinal disorders

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Timing and outcome of stoma closure in very low birth weight infants with surgical intestinal disorders

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