Application of santulli procedure enterostomy in treatment of high unformed small bowel fistula in children
10.3760/j.issn.2095-428X.2013.06.019
- VernacularTitle:Santulli肠造瘘术在小儿早期高位小肠瘘治疗中的应用
- Author:
Chun-Qiang DONG
1
;
Kun DONG
;
Yi-Ge LUO
;
Qiang LIU
;
Chao CHEN
;
Ti-Quan YANG
Author Information
1. 广西医科大学第一附属医院小儿外科
- Keywords:
Intestinal fistula;
Small intestine;
Enterostomy;
Child
- From:
Chinese Journal of Applied Clinical Pediatrics
2013;28(6):465-467
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the role of Santulli procedure enterostomy in treatment of high unformed small bowel fistula in children.Methods From May 2007 to Oct.2011,6 cases suffered with high unformed small bowel fistula were treated with Santulli procedure enterostomy.Five male and 1 female were involved and their ages were ranged from 15 days to 5 years.Results The mean time from final diagnosis of intestinal fistula to the definite operation was (52.33 ± 19.03) h,the distance between fistula to the ligament of Treize was (17.33 ± 4.68)cm,the output of enterostomy was (760.00 ± 107.56) mL/d.In the surgical explore,6 cases suffered intestinal adhesions but none of the cases could be separated,5 cases suffered severe and 1 case with moderate intra-abdominal pollution.The preoperative complications included 6 cases with incision infection,1 case with a fully dehiscence of incision,6 cases with generalized peritonitis,2 cases with impaired renal function,1 case with liver dysfunction,3 cases with systemic inflammatory reaction syndrome and sepsis respectively,1 case of incision infection appeared in post-operation.The pediatric critical illness scores and serum albumin of postoperative 3 days and 7 days were higher than those of preoperative (all P ＜0.05).None of the cases suffered the anastomotic leak.The nutrition and growth were normal during the follow-up period of 8 months to 2 years.Conclusions Santulli procedure enterostomy is suitable in treatment of high unformed small bowel fistula in children,and the early performance will improve prognosis.
