Festen C, Severijnen R S, vd Staak F H
Pediatric Surgical Center, Catholic University, Nijmegen, The Netherlands.
Acta Chir Scand. 1988 Sep;154(9):525-7.
A retrospective review of 48 infants, less than one year of age, with enterostomies was carried out to analyse the complications. Early complications were encountered in 3 patients (5%). Stoma complications occurred in 7 patients (14.6%) and revision was required in 2 cases. Total or near total parenteral nutrition was needed in 23 patients (48%). Of the 25 who tolerated oral feeding, 16 (64%) required extra sodium in their diet. Stoma-closure in 37 patients had a leakage rate of 8% and no mortality. Careful attention to technical details, diligent postoperative stoma care and early closure of the enterostomy if possible, seems to be the best way of avoiding complications.
对48例年龄小于1岁的行肠造口术的婴儿进行回顾性研究以分析并发症。3例患者(5%)出现早期并发症。7例患者(14.6%)发生造口并发症,其中2例需要进行修复。23例患者(48%)需要全肠外营养或接近全肠外营养。在25例能够耐受经口喂养的患者中,16例(64%)在饮食中需要额外补充钠。37例患者进行造口关闭术,渗漏率为8%,无死亡病例。认真关注技术细节、术后精心护理造口以及尽可能早期关闭肠造口,似乎是避免并发症的最佳方法。