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[Acquired internal intestinal fistulae in children]
1Pavlov Ryazan State Medical University, Ryazan, Russia.
Khirurgiia
|December 10, 2020
Summary
Acquired internal intestinal fistulae in children are rare, often stemming from post-surgical complications or necrotizing colitis. Early diagnosis and surgical intervention are crucial for managing these complex pediatric cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatology
Background:
- Acquired internal intestinal fistulae are uncommon pediatric conditions.
- Diagnosis and management present unique challenges in infants and young children.
Purpose of the Study:
- To analyze the diagnostic methods and treatment strategies for acquired internal intestinal fistulae in pediatric patients.
- To identify the primary causes and outcomes associated with these fistulae.
Main Methods:
- Retrospective analysis of 3 pediatric cases with acquired internal intestinal fistulae.
- Utilized clinical, laboratory, and radiological diagnostic tools.
- Surgical and conservative treatment approaches were employed.
Main Results:
- Two cases involved post-surgical intestinal perforation following congenital obstruction repair.
- One premature infant developed a fistula secondary to necrotizing colitis.
- All patients underwent surgical repair, with 2 surviving and 1 succumbing to multiple organ failure.
Conclusions:
- Acquired internal intestinal fistulae in children can result from surgical complications or necrotizing colitis.
- Prompt diagnosis and appropriate surgical management are vital for improving patient outcomes.
- Necrotizing colitis is a significant risk factor in premature infants.
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