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Resection with primary anastomosis for necrotizing enterocolitis.

F J Harberg, C W McGill, M M Saleem

    Journal of Pediatric Surgery
    |December 1, 1983
    PubMed
    Summary
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    Primary anastomosis for necrotizing enterocolitis (NEC) shows acceptable outcomes, avoiding stoma complications. Ligation of patent ductus arteriosus (PDA) during NEC surgery is also recommended.

    Area of Science:

    • Pediatric Surgery
    • Neonatal Care
    • Gastrointestinal Surgery

    Background:

    • Necrotizing enterocolitis (NEC) is a serious condition in premature infants.
    • Surgical management of NEC often involves bowel resection.
    • Small-bowel stomas can lead to significant complications.

    Purpose of the Study:

    • To evaluate the outcomes of primary anastomosis after bowel resection for NEC.
    • To assess the feasibility and safety of primary anastomosis in NEC management.
    • To highlight the importance of considering patent ductus arteriosus (PDA) ligation during NEC surgery.

    Main Methods:

    • Retrospective review of 27 patients undergoing bowel resection for NEC.
    • Analysis of morbidity and mortality rates associated with primary anastomosis.

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  • Evaluation of concomitant patent ductus arteriosus (PDA) ligation.

    • Main Results:

    • Primary anastomosis was performed with acceptable morbidity and mortality rates.
    • Three deaths were reported among the 27 patients.
    • Primary anastomosis successfully avoided complications associated with small-bowel stomas.

    Conclusions:

    • Primary anastomosis is a viable surgical option for NEC, offering favorable outcomes.
    • Avoiding stomas through primary anastomosis reduces patient complications.
    • Concomitant ligation of significant PDA should be considered in NEC abdominal surgeries.