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Comparative Study
. 2020 Nov 13;33(1):e1485.
doi: 10.1590/0102-672020190001e1485. eCollection 2020.

A comparative study between Santulli ileostomy and loop ileostomy in neonates with meconium ileus

[Article in English, Portuguese]
Shahnam Askarpour  1 , Amin Ayatipour  1 , Mehran Peyvasteh  1 , Hazhir Javaherizadeh  2
Affiliations
Comparative Study

A comparative study between Santulli ileostomy and loop ileostomy in neonates with meconium ileus

[Article in English, Portuguese]
Shahnam Askarpour et al. Arq Bras Cir Dig. .

Abstract
in English, Portuguese

Background: Meconium ileus is a common cause of intestinal obstruction in neonates that different surgical methods have been described for its management such as Santulli and loop ileostomy.

Aim: To evaluate and compare clinical efficacy of Santulli and loop ileostomy in neonates with meconium ileus.

Methods: In this retrospective study, 58 patients with meconium ileus were evaluated. After analyses of hospital records, 53 patients with completed hospital records were included. Demographic information, surgery parameters and postoperative complications were extracted from the hospital records or calling parents.

Results: Skin excoriation (21.4% vs. 84%, p<0.001), ostomy prolapsed (0 vs. 28%, p=0.003), and surgical site infection (7.1% vs. 28%, p=0.044) was significantly lower in Santulli ileostomy group. Furthermore, ileostomy output in first week (70.53±15.11 ml vs. 144.6±19.99 ml, p<0.001) and in 4th week (2.14±4.98 ml vs. 18.4±17.95 ml, p<0.001) was significantly lower in Santulli ileostomy group as compared to loop ileostomy group. Finally, hospital stay in Santulli ileostomy group was 12±2.34 and in loop ileostomy 14.24±1.47 days (p<0.001).

Conclusion: Santulli ileostomy is better than loop ileostomy due to significant less frequency of surgical site infection, skin excoriation, prolapse of ostomy, ileostomy volume output and hospitalization time.

Racional:: O íleo meconial é causa comum de obstrução intestinal em neonatos e diferentes métodos cirúrgicos foram descritos para seu manejo, como Santulli e ileostomia em alça.

Objetivo:: Avaliar e comparar a eficácia clínica de Santulli e ileostomia em alça em neonatos com íleo meconial.

Métodos:: Neste estudo retrospectivo, foram avaliados 58 pacientes. Após análise, 53 pacientes com prontuários hospitalares completos foram incluídos. Informações demográficas, parâmetros cirúrgicos e complicações pós-operatórias foram extraídos dos prontuários ou dos pais por telefone.

Resultados:: Escoriações cutâneas (21,4% vs. 84%, p<0,001), estomia prolongada (0 vs. 28%, p=0,003) e infecção do sítio cirúrgico (7,1% vs. 28%, p=0,044) foram significativamente menores no grupo ileostomia Santulli. Além disso, a produção de ileostomia na primeira semana (70,53±15,11 ml vs. 144,6±19,99 ml, p <0,001) e na quarta semana (2,14±4,98 ml vs. 18,4±17,95 ml, p<0,001) foi significativamente menor no grupo de ileostomia Santulli em comparação com o de ileostomia em alça. Finalmente, o tempo de internação no grupo de ileostomia de Santulli foi de 12±2,34 e na ileostomia de alça de 14,24±1,47 dias (p<0,001).

Conclusão:: A ileostomia de Santulli é melhor que a em alça, devido à menor frequência significativa de infecção do local cirúrgico, escoriação cutânea, prolapso da ostomia, volume da ileostomia e tempo de internação.

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Conflict of interest statement

Conflict of interest: none

Figures

FIGURA 1
FIGURA 1. Study flowchart
See this image and copyright information in PMC

References

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