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Enterostomy complications in infants.

C Festen1, R S Severijnen, F H vd Staak

  • 1Pediatric Surgical Center, Catholic University, Nijmegen, The Netherlands.

Acta Chirurgica Scandinavica
|September 1, 1988
PubMed
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This study reviewed 48 infants undergoing enterostomies, finding low early complication rates but notable stoma issues and high parenteral nutrition needs. Careful stoma care and timely closure are key to minimizing enterostomy complications in infants.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Neonatal Care

Background:

  • Enterostomies are performed in infants for various gastrointestinal conditions.
  • Complications associated with infant enterostomies require careful management.
  • Optimizing outcomes for infants with enterostomies is crucial.

Purpose of the Study:

  • To analyze the early and late complications in infants with enterostomies.
  • To evaluate the outcomes of stoma closure in this patient group.
  • To identify factors influencing complication rates and outcomes.

Main Methods:

  • Retrospective review of 48 infants under one year of age with enterostomies.
  • Analysis of early complications, stoma-related issues, nutritional support, and stoma closure outcomes.

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  • Data collection on complication rates, need for revision, parenteral nutrition, oral feeding tolerance, and stoma closure leakage.

    • Main Results:

    • Early complications occurred in 5% of patients.
    • Stoma complications were observed in 14.6%, with 2 requiring revision.
    • 48% required parenteral nutrition; 64% of those tolerating oral feeding needed supplemental sodium.
    • Stoma closure in 37 patients had an 8% leakage rate and no mortality.

    Conclusions:

    • Enterostomies in infants can be associated with significant complications, including stoma issues and nutritional challenges.
    • Diligent postoperative stoma care and early enterostomy closure are vital for minimizing complications.
    • Careful attention to surgical technique and postoperative management can improve outcomes for infants with enterostomies.