Wu Shuqing,Zhong Bin,Liu Hui,et al. Comparison of therapeutic efficacies of BishopKoop stoma versus double mouth enterostomy for neonatal necrotizing enterocolitis.[J].Journal of Clinical Pediatric Surgery,,17():835-839.
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 Comparison of therapeutic efficacies of BishopKoop stoma versus double mouth enterostomy for neonatal necrotizing enterocolitis.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第17卷 Number: 2018 11 Page: 835-839 Column: 论著 Date of publication: 2018-11-20
Author(s):
 Wu Shuqing; Zhong Bin; Liu Hui; Shu Fang; Liu Chuanrong; Huang Xiuming; Wu Jinhua.
 Department of Neonatal Surgery,Municipal Maternal & Children’s Healthcare Service Centre,Ganzhou 341000,China.
Keywords:
 ; Enterocolitis;  Necrotizing;  BishopKoop Stoma;  Neonate
Document code:
A
Abstract:
 ObjectiveTo compare the clinical efficacies of small intestine BishopKoop stoma versus double mouth enterostomy for neonatal necrotizing enterocolitis (NEC).MethodsA total of 79 NEC patients undergoing enterostomy from 2010 to 2016 were analyzed retrospectively.They were categorized by operative approaches into two groups of double mouth enterostomy and BishopKoop stoma.The relevant clinical data included operative efficacies,timing of enterostomy closure and complications were compared.ResultsNo significant intergroup difference existed in ratios of preterm infants and low birth weight,Bells staging criteria or disease severity（P＞0.05）.However,the ratio of high small intestinal enterostomy in BishopKoop group was higher than that in double mouth enterostomy group（P＜0.05）.Twentyeight neonates were cured and 16 deaths occurred in double mouth enterostomy group while 30 neonates became cured and there were 5 deaths in BishopKoop stoma group.And the mortality causes were septic shock and multiple organ failure.The mortality rate of BishopKoop stoma group was lower than that of double mouth enterostomy group（P＜0.05）.Significant difference existed in timing of enterostomy closure between double mouth enterostomy group (87±25 min) and BishopKoop stoma group(73±22 min)（P＜0.05）.Five cases had complications in BishopKoop stoma group versus 12 cases in double mouth enterostomy group.ConclusionFor NEC,BishopKoop stoma is safer and more effective than double mouth enterostomy.And there are fewer complications and the time of enterostomy closure is shorter.Wider popularization is recommended.
Last Update: 2018-11-23