Huang Shengyu,Xie Cheng,Lin Lihua,et al.Application of indwelling catheter through appendix stump fistula in onestage terminal ileectomy.[J].Journal of Clinical Pediatric Surgery,,17():274-277.
Application of indwelling catheter through appendix stump fistula in onestage terminal ileectomy.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 04
Page:
274-277
Column:
论著
Date of publication:
2018-04-28
- Keywords:
- Terminal ileum; Stomal leak; ileocecal valve; Appendix stump fistula; Child
- Document code:
- A
- Abstract:
- ObjectiveTo explore the safety and practicality of applying indwelling catheter through appendix stump fistula in onestage terminal ileectomy.MethodsRetrospective analyses were conducted for 38 children hospitalized with terminal ileum diseases from January 2007 to December 2016.After emergency or subemergency laparotomy,onestage terminal ileum excision and anastomosis were performed.And anastomotic stoma was less than 10 cm away from ileocecus.And indwelling silica gel tube was guided through appendix stump fistula into proximal anastomosis.ResultsAll operations were successful.The cases of terminal ileum atresia or terminal ileum stenosis in meconium ileus had anus exhaust at Days 8 and 6.In other cases,postoperative bowel function recovered at Days 3-4.All of them defecated after removing gastric tube and resumed a liquid diet after anus exhaust.And had semiliquid diet without abdominal distention and vomiting after 1-2 days.After no ultrasonic evidence of liquid or seroperitoneum,drainage tube in right iliac fossa elicit was removed at Days 4-5.The incisions healed well at Days 7-14.The average duration of hospitalization was 9 days.Both diet and urine were normal without defecation in fistula at Days 2-5 after discharge.And fistula selfhealed at Days 2-3.During outpatient followups for 6 months to 2 years,there was no occurrence of such complications as anastomotic fistula,anastomotic stricture,peritonitis,intestinal adhesion or volvulus.ConclusionOnestage terminal ileum excision and anastomosis are successful.It can effectively avoid anastomotic leak and retain physiological function of ileocecus.Yet it has no effect upon the growth,digestion and absorption of children.Its worthy of wider clinical application.
Last Update:
2018-04-25