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Nectotizing enterocolitis: is there a place for resection and primary anatomosis?

W B Kiessewetter, F Taghizadeh, R J Bower

Journal of Pediatric Surgery

|June 1, 1979

Summary

Primary anastomosis for necrotizing enterocolitis (NEC) is a viable option in select premature infants with localized perforation and peritonitis. This approach demonstrated a high survival rate, suggesting it can be a safe alternative to stoma formation in specific cases.

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Area of Science:

Neonatal surgery
Pediatric gastroenterology

Background:

Necrotizing enterocolitis (NEC) commonly requires surgical intervention.
Traditional management for NEC complications like peritonitis and perforation involves resection and stoma formation.

Purpose of the Study:

To evaluate the safety and efficacy of primary resection and anastomosis in premature infants with necrotizing enterocolitis.

Main Methods:

A retrospective review of nine premature infants with NEC who underwent bowel resection with primary anastomosis.
Analysis of patient outcomes, focusing on survival and complications.

Main Results:

Eight out of nine infants survived without complications after primary anastomosis.
One infant with extensive small bowel involvement experienced anastomotic leakage and mortality.

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Conclusions:

Primary resection and anastomosis can be a successful alternative to stoma formation in carefully selected premature infants with localized NEC complications.
Careful patient selection is crucial to minimize the risk of anastomotic complications.