Gastrointestinal Ostomies in Children: A Primer for the Pediatrician

Kaitlyn Mullin1,2, Rebecca M Rentea3,4, Meagan Appleby4

  • 1Pediatric Colorectal Center, Department of Pediatrics, Brooke Army Medical Center, San Antonio, TX.

Pediatrics in Review
|March 31, 2024
PubMed

Insights

Fecal ostomies are a valuable surgical option for medically complex children, even with advanced medical treatments. This approach remains advantageous for managing conditions like short bowel syndrome and pediatric inflammatory bowel disease.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neonatology

Background:

  • Advanced medical therapies have improved care for preterm neonates, short bowel syndrome, and pediatric inflammatory bowel disease.
  • Despite these advancements, surgical interventions remain crucial for specific pediatric conditions.

Purpose of the Study:

  • To highlight the continued importance and benefits of fecal ostomies in pediatric care.
  • To underscore the role of ostomies in managing complex pediatric gastrointestinal issues.

Main Methods:

  • Review of current pediatric surgical and medical management strategies.
  • Analysis of treatment outcomes for medically complex children requiring ostomies.

Main Results:

  • Fecal ostomies are frequently utilized in managing medically complex pediatric populations.
  • Ostomies provide an advantageous treatment option when other therapies are insufficient.

Conclusions:

  • Fecal ostomies represent a common and beneficial surgical solution for medically complex children.
  • The procedure remains a key component in the multidisciplinary management of challenging pediatric gastrointestinal diseases.

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