Related Experiment Video

Updated: May 7, 2026

Long-Term Catheterization of the Intestinal Lymph Trunk and Collection of Lymph in Neonatal Pigs
06:25

Long-Term Catheterization of the Intestinal Lymph Trunk and Collection of Lymph in Neonatal Pigs

Published on: March 5, 2016

Ileostomy in extremely low birth weight and premature neonates

F Ferrara1, R Angotti, A Burgio

  • 1Pediatric Surgery Unit, Departiment of Medical, Surgical and Neurological SciencesUniversity of Siena, Siena, Italy - fferraradoc@gmail.com.

Minerva Pediatrica
|September 21, 2013
PubMed

Insights

Ileostomy surgery is a viable treatment for neonatal intestinal diseases in premature infants. This approach facilitates optimal management, faster healing, and reduced morbidity and mortality rates.

Area of Science:

  • Neonatal surgery
  • Gastroenterology
  • Pediatric surgery

Background:

  • Neonatal intestinal diseases like necrotizing enterocolitis (NEC) and meconium-related conditions pose significant risks to premature and extremely-low-birth-weight (ELBW) infants.
  • Surgical intervention, including ileostomy, is a critical management option for these complex cases.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of temporary ileostomy in managing acute abdomen in premature and ELBW neonates.
  • To assess the impact of ileostomy on intestinal healing and identify factors influencing recovery.

Main Methods:

  • A prospective study conducted from July 2000 to April 2011 included neonates with acute abdomen.
  • Temporary ileostomy with skin bridge and resection of necrotic bowel was performed, followed by anastomosis.
  • Data analysis, including multiple univariate assessments, evaluated confounding factors affecting intestinal canalization.

Main Results:

  • Thirty-three neonates (14 male, 19 female) underwent surgery for intestinal perforation, primarily due to NEC (24 cases).
  • Complications occurred in 13 patients, with 7 related to the ileostomy. Patients with meconium ileus showed delayed bowel function recovery (OR=8.0; P=0.0455).
  • Overall morbidity and mortality were low, supporting the procedure's effectiveness.

Conclusions:

  • Ileostomy is an effective surgical strategy for acute abdomen in premature and low-birth-weight newborns.
  • This method allows for optimal management, isolates compromised bowel segments, and promotes faster healing.
  • The procedure is associated with a low rate of complications, morbidity, and mortality in this vulnerable population.
Abstract

More Related Videos

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Ostomy Care01:24

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...