کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4154792 1273726 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Routine contrast enema is not required for all infants prior to ostomy reversal: A 10-year single-center experience
ترجمه فارسی عنوان
کنترول معمولی آنما برای تمام نوزادان قبل از اصلاح استومی لازم نیست: یک تجربه 10 ساله تک مرکزی
کلمات کلیدی
انما کنتراست، باریم انما، استراتژی، انتستومی، ایلئواستومی، ژیونوستومی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

IntroductionThe incidence of intestinal stricture is low for most conditions requiring a primary small bowel stoma in infants. Routine performance of contrast enemas (CE) prior to stoma closure adds cost and radiation exposure. We hypothesized that routine CE prior to ostomy reversal is not necessary in all infants, and sought to identify a subset of patients who may benefit from preoperative CE.MethodsMedical records of infants under age 1 (N = 161) undergoing small bowel stoma reversal at a single institution between 2003 and 2013 were retrospectively reviewed. Student's T-test was used to compare groups.ResultsContrast enemas were performed on 80% of all infants undergoing small bowel ostomy reversal during the study period. Infants with necrotizing enterocolitis (NEC) were more likely to have a CE than those with intestinal atresia (p = 0.03) or those with all other diagnoses combined (p = 0.03). Nine strictures were identified on CE. Of those, 8 (89%) were in patients with NEC, and only 4 were clinically significant and required operative resection. The overall relevant stricture rate was 2.5%. No patient that underwent ostomy takedown without CE had a stricture diagnosed intraoperatively or an unrecognized stricture that presented clinically after stoma takedown.ConclusionsRoutine CE is not required prior to small bowel ostomy reversal in infants. We recommend judicious use of enema studies in patients with NEC and high likelihood of stricture.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 51, Issue 7, July 2016, Pages 1138–1141
نویسندگان
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