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Silo pouch stoma: a rescue procedure for intestinal catastrophe in gastroschisis
Anupam Lall1, Michael Singh, Antonino Morabito
1Neonatal Surgical Unit, St. Mary's Hospital, M13 9WL Manchester, UK.
Abstract:
Silo pouch formation is a standard procedure to prevent compartment syndrome in gastroschisis. Intestinal complications such as perforation and volvulus can occur and their management can be perplexing. We present three such patients in which we formed a stoma through the silo pouch owing to these complications. Creation of stoma through the silo is a novel, safe temporizing technique to decompress the bowel while delayed reduction continues. Subsequently, when the baby and the bowel improve, the stoma can be closed.
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