Wang Wei,Liu Gang,Huang Liuming,et al.The best treatment plan for neonatal necrotizing enterocolitis and related time[J].Journal of Clinical Pediatric Surgery,,18():233-236.[doi:10.3969/j.issn.1671-6353.2019.03.015]
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The best treatment plan for neonatal necrotizing enterocolitis and related time

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第18卷 Number: 2019 03 Page: 233-236 Column: 论著 Date of publication: 2019-03-25
Author(s):
Wang Wei1; 2;  Liu Gang1;  Huang Liuming1;  Yu Mengnan1;  Qin Shengling1;  Zhang Jing1;  Xing Guodong1
1. Beijing New Century Children’s Hospital, Department of Pediatric Surgery, Beijing, 100045;
2. The Seventh Medical Center of the People’s Liberation Army General Hospital Bayi Children’s Hospital Neonatal Surgery, Beijing, 100700
Keywords:
Infant/Newborn; Enterocolitis/Necrotizing; Intestinal Fistula; Treatment Protocols
CLC:
R722.19;R574.5;R574.62
DOI:
10.3969/j.issn.1671-6353.2019.03.015
Abstract:
Objective To discuss the postoperative treatment and the optimal timing of ostomy closure for neonatal necrotizing enterocolitis (NEC) patients with enterostoma.Methods Records of patients with NEC who received a enterostomy between 2011 to 2014 in our hospital were reviewed.Patients were divided in three groups:early ostomy closure(EC,within 90 d),medium ostomy closure (MC,90-180 d)and late ostomy closure(LC,after more than 180 d).Data were colleted include the weight and gestaional age at birth,at stoma creation and at stoma reversal;postoperative complications;data about feeding;length of PN and hospitalization.Results There were 36 patients while 8 in group EC,14 in group MC and 14 in group LC.Three groups had no significantly difference in gestational age and birth weight at the time of stoma closure(P>0.05).There were significant differences in total PN time (P<0.05),postreversal PN time (P=0.005),enteral nutrition time (P=0.035),total hospitalization days (P=0.019) and postreversal hospitalization days (P=0.000) among the three groups.Inter group comparison showed that there were significant differences between EC and MC/LC,but there was no significant difference between MC and LC.Conclusion Although there were differences in length of nutritional support and hospital stay between three groups,both the outcome was satisfactory.Comprehensive treatment and monitoring of growth are needed after operation.The optimal time to take stoma closure with stable growth could be after 90 d.As for the patients indicated early ostomy closure,it is also feasible while under individual nutritional support.

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Memo

收稿日期:2018-07-31。
通讯作者:黄柳明,Email:surhlm@126.com

Last Update: 1900-01-01