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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.
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.
Abstract:
Despite the advancement of medical therapies in the care of the preterm neonate, in the management of short bowel syndrome and the control of pediatric inflammatory bowel disease, the need to create fecal ostomies remains a common, advantageous treatment option for many medically complex children.
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