Department of Pediatric Surgery, Medical University of Innsbruck, Innsbruck, Austria.
J Matern Fetal Neonatal Med. 2020 Sep;33(17):2897-2901. doi: 10.1080/14767058.2018.1563593. Epub 2019 Jan 3.
Temporary enterostomies are life-saving in neonatal surgery, however, causing loss of fluid electrolyte, delays in distal bowel adaptation and thus delayed growth of newborns. In this study, we aimed to present the method and clinical results of distal stoma refeeding in premature and mature neonates. Between January 2012 and December 2017, records of newborn patients who underwent enterostomy and distal stoma refeeding were retrospectively analyzed. Premature and full term neonates who had distal stoma refeeding were evaluated by stoma indications, resection status, duration of total parenteral nutrition use, time of stoma closure operation and surgery findings. Distal stoma refeeding was performed to 23 newborns in study period. Surgical diagnosis of newborns were meconium ileus, focal intestinal perforation, volvulus, necrotizing enterocolitis, ileal atresia, jejunal atresia, and gastroschisis. The bowel resection was performed in 14 patients. Stoma closure was done on the average day 77th. Total parenteral nutrition was given average 28 d and no total parenteral nutrition complication was seen. The stoma closure operations were performed easily. Distal stoma refeeding is safe and successful method. The success of distal stoma refeeding depends on expert team, time, and equipment.
暂时性肠造口术在新生儿外科中是救命的，但会导致液体电解质丢失、延迟远端肠道适应，从而导致新生儿生长延迟。在这项研究中，我们旨在介绍早产儿和足月儿远端造口再喂养的方法和临床结果。
回顾性分析了 2012 年 1 月至 2017 年 12 月期间行肠造口术和远端造口再喂养的新生儿患者的记录。通过造口指征、切除情况、全胃肠外营养使用时间、造口关闭手术时间和手术发现，评估有远端造口再喂养的早产儿和足月儿。在研究期间，对 23 名新生儿进行了远端造口再喂养。新生儿的手术诊断为胎粪性肠梗阻、局部肠穿孔、肠扭转、坏死性小肠结肠炎、回肠闭锁、空肠闭锁和腹裂。14 例患儿行肠切除术。平均在第 77 天进行造口关闭。平均给予全胃肠外营养 28 天，未出现全胃肠外营养并发症。造口关闭手术很容易进行。远端造口再喂养是一种安全且成功的方法。远端造口再喂养的成功取决于专业团队、时间和设备。
