The Influence of Ostomy Closure Opportunity Choice on the Prognosis of the infants with Necrotizing Enterocolitis

DOI

10.2991/iceesd-18.2018.22How to use a DOI?

Keywords

Necrotizing enterocolitis, ileostomy, ostomy closure

Abstract

Objective: To explore the the influence of different ostomy closure opportunity choice on the prognosis of the patient with necrotizing enterocolitis (NEC). Methods: From January 2012 to January 2018, 36 infants with NEC which had been performed ileostomy were treated with different ostomy closure opportunity choice in the First hospital of Jilin University. These infants were divided into three groups randomly: Early ostomy closure group: 12 patients were performed early ostomy closure(less 3 months after ostomy), normal ostomy closure group : 14 patients were performed normal ostomy closure(3-6 months after ostomy), late ostomy closure group: 10 patients were performed early ostomy closure(more 6 months after ostomy), clinical data were retrospectively analyzed，including the time from ostomy to ostomy closure, the mean operation time, the intraoperative bleeding, the averaged length of stay (ALS), the incidence of postoperative wound infections. Results: The time from ostomy to ostomy closure of three groups was different(P<0.05). There were no significant difference in the mean operation time among the three groups(P>0.05). The difference of the operative blood loss in three groups were not statistically significant (P>0.05). The difference of the averaged length of stay (ALS) in three groups were not statistically significant(P>0.05), and the incidence of postoperative wound infections were not different among the three groups too(P>0.05). Conclusions: The early ostomy closure did not have the negative effect for the infants with NEC. Compared with normal ostomy closure and late ostomy closure, early ostomy closure could restore the bowel function earlier, and could avoid Long-term dehydration and malnutrition during the waiting for ostomy closure.

Copyright

© 2018, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Jixue Zhao
AU  - Xin Fu
PY  - 2018/05
DA  - 2018/05
TI  - The Influence of Ostomy Closure Opportunity Choice on the Prognosis of the infants with Necrotizing Enterocolitis
BT  - Proceedings of the 2018 7th International Conference on Energy, Environment and Sustainable Development (ICEESD 2018)
PB  - Atlantis Press
SP  - 138
EP  - 141
SN  - 2352-5401
UR  - https://doi.org/10.2991/iceesd-18.2018.22
DO  - 10.2991/iceesd-18.2018.22
ID  - Zhao2018/05
ER  -