Fu Cuixia,Chen Jie,Chen Lin,et al.A preliminary investigation on efficacy and safety of a novel pediatric conseal ostomy plug in children with Type T ostomy[J].Journal of Clinical Pediatric Surgery,,20():974-979.[doi:10.12260/lcxewkzz.2021.10.015]
A preliminary investigation on efficacy and safety of a novel pediatric conseal ostomy plug in children with Type T ostomy
- Keywords:
- Enterostomy/MT; Treatment Outcome; Skin/IN; Patient Safety
- CLC:
- R472.91;R574.2;R726.1
- Abstract:
- Objective To review our institutional experience of applying a novel pediatric conseal ostomy plug among children with type T ostomy and explore preliminarily its clinical efficacy and safety.Methods Retrospective review was conducted for 14 patients with type T ostomy from October 2019 to October 2020.Patient demographics, ostomy output after plugging, perfusion of bowel wall and skin change around ostomy were assessed.And the complications of abdominal distention, emesis and abnormal bowel movement during plugging were recorded.Results Major causes for ostomy were necrotizing enterocolitis with or without bowel perforation (n=7) and neuronal intestinal dysplasia (n=4).And minor causes were ileus in preterm baby (n=1), omphalocele with bowel perforation (n=1) and meconium peritonitis (n=1).Both Santulli (n=7) and Bishop-Koop (n=7) intestinal ostomies were performed.The average age and weight during ostomy were (9.3±5.8) months and (7.3±2.5) kg respectively.The average ostomy output before plugging was (13.6±7.7) mL/kg/day.This novel conseal ostomy plug had two components of base and central plugs.Central plug was applied with base (n=13) and for ostomy prolapse (n=1).The average duration of plugging was (9.5±10.9) days.Ostomy output after plugging was (1.5±3.9) mL/kg/day.No allergic reaction, mucous injury, skin bruising or pressure injury occurred.All patients had normal spontaneous bowel movement without abdominal distension or emesis.Subsequent ostomy inversion was successful and uneventful postoperatively (n=13).One child continued treatment in hospital.Conclusion Using and nursing of this novel conseal ostomy plug are convenient, safety and efficient.The design of two components and serial size contribute to a broader application in most patients with type T ostomy.Also it provides a novel mode of predicting bowel function and tolerance in patients after ostomy closure.
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Memo
收稿日期:2020-10-14。
基金项目:复旦大学附属儿科医院多学科诊疗（MDT）拔尖项目（第二期）（编号：复旦儿科-2020）；上海市科技创新行动计划医学创新研究专题项目（编号：21Y11907300）
通讯作者:马丽丽,Email:13818761741@163.com