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


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-02-28

AUTHORS

Kyoko Mochizuki, Masahiro Hayakawa, Naoto Urushihara, Hiromu Miyake, Akiko Yokoi, Jun Shiraishi, Hideshi Fujinaga, Kensuke Ohashi, Genshiro Esumi, Satoko Ohfuji, Shintaro Amae, Toshihiro Yanai, Taizo Furukawa, Yuko Tazuke, Kyoko Minagawa, Hiroomi Okuyama

ABSTRACT

PurposeVery 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.MethodsA 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.ResultsWe 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.ConclusionsThe 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. More... »

PAGES

1001-1006

Journal

TITLE

Surgery Today

ISSUE

8

VOLUME

47

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00595-017-1498-6

DOI

http://dx.doi.org/10.1007/s00595-017-1498-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084022827

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28247106


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26 schema:description PurposeVery 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.MethodsA 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.ResultsWe 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.ConclusionsThe 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.
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32 schema:keywords ConclusionsThe present study
33 Institute
34 NEC
35 ResultsWe
36 VLBWIs
37 age
38 birth weight infants
39 body
40 body weight
41 bowel function
42 closure
43 common disorder
44 creation
45 days
46 differences
47 disease
48 disorders
49 enteral nutrition
50 enterocolitis
51 establishment
52 focal intestinal perforation
53 function
54 group
55 ileus
56 infants
57 intestinal disorders
58 intestinal perforation
59 low birth weight infants
60 meconium-related ileus
61 medical records
62 multicenter study
63 nutrition
64 outcomes
65 perforation
66 postnatal age
67 postoperative restoration
68 present study
69 records
70 restoration
71 retrospective multicenter study
72 risk
73 significant differences
74 stoma closure
75 stoma creation
76 study
77 time
78 timing
79 weight
80 weight infants
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