Askarpour Shahnam, Ayatipour Amin, Peyvasteh Mehran, Javaherizadeh Hazhir
Pediatric Surgery.
Pediatric Gastroenterology and Alimentary Tract Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Khouzestan, Iran.
Arq Bras Cir Dig. 2020 Dec 18;33(3):e1538. doi: 10.1590/0102-672020200003e1538. eCollection 2020.
Meconium ileus is a common cause of intestinal obstruction in neonates that different surgical methods have been described for its management such as Santulli and loop ileostomy.
To evaluate and compare clinical efficacy of Santulli and loop ileostomy in neonates with meconium ileus.
In this retrospective study, 58 patients with meconium ileus were evaluated. After analyses of hospital records, 53 patients with completed hospital records were included. Demographic information, surgery parameters and postoperative complications were extracted from the hospital records or calling parents.
Skin excoriation (21.4% vs. 84%, p<0.001), ostomy prolapsed (0 vs. 28%, p=0.003), and surgical site infection (7.1% vs. 28%, p=0.044) was significantly lower in Santulli ileostomy group. Furthermore, ileostomy output in first week (70.53±15.11 ml vs. 144.6±19.99 ml, p<0.001) and in 4th week (2.14±4.98 ml vs. 18.4±17.95 ml, p<0.001) was significantly lower in Santulli ileostomy group as compared to loop ileostomy group. Finally, hospital stay in Santulli ileostomy group was 12±2.34 and in loop ileostomy 14.24±1.47 days (p<0.001).
Santulli ileostomy is better than loop ileostomy due to significant less frequency of surgical site infection, skin excoriation, prolapse of ostomy, ileostomy volume output and hospitalization time.
胎粪性肠梗阻是新生儿肠梗阻的常见原因，针对其治疗已有多种手术方法被描述，如桑图利手术和袢式回肠造口术。
评估并比较桑图利手术和袢式回肠造口术治疗新生儿胎粪性肠梗阻的临床疗效。
在这项回顾性研究中，对58例胎粪性肠梗阻患者进行了评估。分析医院记录后，纳入了53例有完整医院记录的患者。从医院记录或致电家长处提取人口统计学信息、手术参数和术后并发症。
桑图利回肠造口术组的皮肤擦伤（21.4%对84%，p<0.001）、造口脱垂（0对28%，p=0.003）和手术部位感染（7.1%对28%，p=0.044）明显更低。此外，与袢式回肠造口术组相比，桑图利回肠造口术组第一周的回肠造口排出量（70.53±15.11毫升对144.6±19.99毫升，p<0.001）和第四周的排出量（2.14±4.98毫升对18.4±17.95毫升，p<0.001）明显更低。最后，桑图利回肠造口术组住院时间为12±2.34天，袢式回肠造口术组为14.24±1.47天（p<0.001）。
由于手术部位感染、皮肤擦伤、造口脱垂、回肠造口排出量和住院时间的发生率显著更低，桑图利回肠造口术优于袢式回肠造口术。
