Complications and nutritional status following different timings of post-enterostomy stoma reversal in necrotizing enterocolitis
10.3760/cma.j.issn.2096-2932.2021.06.009
- VernacularTitle:新生儿坏死性小肠结肠炎不同关瘘时机并发症及营养状况分析
- Author:
Yanfen PENG
1
;
Qiuming HE
;
Tulian LIN
;
Junjian LYU
;
Jiakang YU
;
Wei ZHONG
Author Information
1. 广州市妇女儿童医疗中心新生儿外科监护室 510623
- Keywords:
Infant, newborn;
Enterocolitis, necrotizing;
Ostomy reversal;
Nutritional status
- From:Chinese Journal of Neonatology
2021;36(6):43-46
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the incidences of postoperative complications and nutritional status following different timings of stoma reversal in necrotizing enterocolitis (NEC).Method:From January 2017 to December 2019, NEC patients receiving enterostomy surgery and later stoma reversal in our hospital were retrospectively analyzed. They were assigned into three groups according to the timing of stoma reversal: early group (reversal within 8 weeks of stoma formation), middle group (reversal at 8~12 weeks from stoma formation) and late group (reversal after 12 weeks from stoma formation). Weight-for-age-Z-score (WAZ) was used to evaluate nutritional status.Result:A total of 56 infants were enrolled, including 6 cases in the early group, 11 cases in the middle group, and 39 cases in the late group. The gestational age and birth weight were (33.4±3.4) weeks and (1 894±640) g, respectively. The median age of stoma formation and the interval between stoma formation and reversal were 16.5 (8.0, 28.2) days and 94.0 (76.5, 126.5) days. No significant differences existed on gestational age, birth weight, age of stoma formation and complications of stoma reversal among the three groups ( P>0.05). The incidence of growth retardation (WAZ<-2) was 14.3% at stoma formation, and significantly increased to 62.5% at stoma reversal ( P<0.05). The WAZ at stoma reversal in early, middle and late groups were (-3.2±1.9), (-3.0±1.6) and (-2.3±1.5), without significant differences( P>0.05). The WAZ gradually increased to (-0.7±1.2), (-0.1±2.0) and (-0.1±0.8) at 42~48 weeks after reversal, respectively. Conclusion:The timing of stoma reversal may not influence the complications of reversal. Growth retardation are common in NEC infants with stoma formation and stoma reversal may improve the nutritional status of the infants. Early reversal of stoma is suggested to improve the nutritional status of patients with poor weight gain after stoma formation.
