Gastrointestinal stoma performed in newborns with gastrointestinal tract defects methods effectiveness evaluation
DOI:
https://doi.org/10.37800/RM.1.2024.122-130Keywords:
Stoma, newborns, stoma complications, surgical design, surgical treatment, perinatal aporeuretic ringAbstract
Relevance: Modern methods of early diagnosis of birth defects in infants and treatment of acute surgical pathology of the intestinal tract determine the possibility of rapid, radical surgical correction to restore body functions and development of the child by age periods. Intestinal stoma in infants, the incidence is 30-50%. Without an intestinal stoma, it is impossible to imagine any kind of reconstructive homeland.
The study aimed to conduct a comparative retrospective and prospective analysis of surgical treatment in newborns with the imposition of an intestinal stoma.
Materials and Methods: We retrospectively analyzed data on congenital and acquired diseases in 42 newborns treated at the Neonatology and Neonatal Surgery Department of the Hospital of Pediatrics and Pediatric Surgery, JSC (Almaty, Kazakhstan) from 2014 to 2023.
Results: Thus, in many cases, the appearance of an intestinal stoma in pediatric practice is temporary and implies the subsequent restoration of intestinal permeability, which is decisive in choosing the type of intestinal stoma and the methodology for its formation. A properly formed stoma should perform its functions without aggravation but alleviate the condition of a sick child. However, an operation that seems simple at first glance, the use of an intestinal stoma, may be accompanied by various technical errors, leading to a wide range of complications, from minimal to severe, that put the patient's life at risk.
Conclusion: Due to early diagnosis and plastic surgery to restore congenital and acquired defects of the gastrointestinal tract in newborns, timely surgery to create and improve the peritoneal aponeurotic ring, in turn, gave a positive result (98.25%). Using this method, it was possible to prevent early and late postoperative complications. The surgery on newborns improved the surgical treatment performed on them, and the simultaneous adjustment with the development of care technology allowed for a good result of treatment. This article is written with the objective of improving the clinical experience of the Pediatric Surgery Association concerning the results of the proposed surgical treatment.
References
Massenga A, Chibwae A, Nuri AA, Bugimbi M, Munisi YK, Mfinanga R, Chalya PL. Indications for and complications of intestinal stomas in the children and adults at a tertiary care hospital in a resource-limited setting: a Tanzanian experience. BMC Gastroenterol. 2019;19(1):157.
https://doi.org/10.1186/s12876-019-1070-5
Wasserman MA, McGee MF, Preoperative Considerations for the Ostomate. Clin Colon Rectal Surg. 2017;30(3):157-161.
https://doi.org/10.1055/s-0037-1598155
Krishnamurty DM, Blatnik J, Mutch M. Stoma Complications. Clin Colon Rectal Surg. 2017;30(3):193-200.
https://doi.org/10.1055/s-0037-1598160
Greenwood-Van Meerveld B, Johnson AC, Grundy D. Gastrointestinal Physiology and Function. Handb Exp Pharmacol. 2017;239:1-16.
https://doi.org/10.1007/164_2016_118
Carreiro AL, Dhillon J, Gordon S, Higgins KA, Jacobs AG, McArthur BM, Redan BW, Rivera RL, Schmidt LR, Mattes RD. The Macronutrients, Appetite, and Energy Intake. Annu Rev Nutr. 2016;36:73-103.
https://doi.org/10.1146/annurev-nutr-121415-112624
Bala M, Kashuk J, Moore EE, Kluger Y, Biffl W, Gomes CA, Ben-Ishay O, Rubinstein C, Balogh ZJ, Civil I, Coccolini F, Leppaniemi A, Peitzman A, Ansaloni L, Sugrue M, Sartelli M, Di Saverio S, Fraga GP, Catena F. Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. World J Emerg Surg. 2017;12:38.
https://doi.org/10.1186/s13017-017-0150-5
Collins JT, Nguyen A, Badireddy M. Anatomy, Abdomen and Pelvis, Small Intestine. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2024. Bookshelf ID: NBK459366.
https://pubmed.ncbi.nlm.nih.gov/29083773/
Kahai P, Mandiga P, Wehrle CJ, Lobo S. Anatomy, Abdomen and Pelvis: Large Intestine. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.
https://www.ncbi.nlm.nih.gov/books/NBK470577/
Karatay E, Ekci B, Javadov M. Should Surgeons Evaluate the Anatomy of Drummond Marginal Artery and Riolan's Arch Preoperatively? Surg Technol Int. 2020;37:102-106.
https://pubmed.ncbi.nlm.nih.gov/32819026/
Ambe PC, Kurz NR, Nitschke C, Odeh SF, Möslein G, Zirngibl H. Intestinal Ostomy. Dtsch Arztebl Int. 2018;115(11):182-187.
https://doi.org/10.3238/arztebl.2018.0182
Lopez MP, Encila VI, Alamo SG, Monroy HJ, Roxas MF. Anorectal malformations: definitive surgery during adulthood. Tech Coloproctol. 2017;21(2):111-118.
https://doi.org/10.1007/s10151-016-1577-5
Tsujinaka S, Tan KY, Miyakura Y, Fukano R, Oshima M, Konishi F, Rikiyama T. Current Management of Intestinal Stomas and Their Complications. J Anus Rectum Colon. 2020;4(1):25-33.
https://doi.org/10.23922/jarc.2019-032.
Iqbal U, Green JB, Patel S, Tong Y, Zebrower M, Kaye AD, Urman RD, Eng MR, Cornett EM., Liu H. Preoperative patient preparation in enhanced recovery pathways. J Anaesthesiol Clin Pharmacol. 2019;35(1):S14-S23.
https://doi.org/10.4103/joacp.JOACP_54_18
Arolfo S, Borgiotto C, Bosio G, Mistrangelo M, Allaix ME, Morino M. Preoperative stoma site marking: a simple practice to reduce stoma-related complications. Tech Coloproctol. 2018;22(9):683-687.
https://doi.org/10.1007/s10151-018-1857-3
Whitehead A, Cataldo PA. Technical Considerations in Stoma Creation. Clin Colon Rectal Surg. 2017;30(3):162-171.
https://doi.org/10.1055/s-0037-1598156
Ferrara F, Parini D, Bondurri A, Veltri M, Barbierato M, Pata F, Cattaneo F, Tafuri A, Forni C, Roveron G, Rizzo G, Multidisciplinary Italian Study group for STOmas (MISSTO). Italian guidelines for the surgical management of enteral stomas in adults. Tech Coloproctol. 2019;23(11):1037-1056.
https://doi.org/10.1097/WON.0000000000000745
Theofanis G, Saedon M, Kho SH, Mulita F, Germanos S, Leung E. Avoiding emergency stoma surgery with the use of sugar. Br J Nurs. 2017;26(22):S24-S26.
https://doi.org/10.12968/bjon.2017.26.22.S24
Steinhagen E, Colwell J, Cannon LM. Intestinal Stomas-Postoperative Stoma Care and Peristomal Skin Complications. Clin Colon Rectal Surg. 2017;30(3):184-192.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 The rights to a manuscript accepted for publication are transferred to the Journal Publisher. When reprinting all or part of the material, the author must refer to the primary publication in this journal.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The articles published in this Journal are licensed under the CC BY-NC-ND 4.0 (Creative Commons Attribution – Non-Commercial – No Derivatives 4.0 International) license, which provides for their non-commercial use only. Under this license, users have the right to copy and distribute the material in copyright but are not permitted to modify or use it for commercial purposes. Full details on the licensing are available at https://creativecommons.org/licenses/by-nc-nd/4.0/.
