Intestinal Stoma in Extremely Low Birth Weight and Very Low Birth Weight Infants

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  • Sakamoto Kouichi
    Department of Neonatology, Perinatal Medical Center, Kagoshima City Hospital:Department of Surgery 1, Kochi Medical School
  • Noguchi Hiroyuki
    Department of Pediatric Surgery, Kagoshima City Hospital
  • Tokuhisa Takuya
    Department of Neonatology, Perinatal Medical Center, Kagoshima City Hospital
  • Ishihara Chie
    Department of Neonatology, Perinatal Medical Center, Kagoshima City Hospital
  • Maede Yoshinobu
    Department of Neonatology, Perinatal Medical Center, Kagoshima City Hospital
  • Yamashita Tatsuya
    Department of Pediatric Surgery, Kagoshima City Hospital
  • Mukai Motoi
    Department of Pediatric Surgery, Kagoshima University Graduate School of Medical and Dental Science
  • Matsufuji Hiroshi
    Department of Pediatric Surgery, Kagoshima University Graduate School of Medical and Dental Science
  • Ibara Satoshi
    Department of Neonatology, Perinatal Medical Center, Kagoshima City Hospital

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Other Title
  • 当科にて腸管ストーマ造設術を施行した極・超低出生体重児の検討
  • トウ カ ニテ チョウカン ストーマゾウセツジュツ オ シコウ シタ ゴク ・ チョウテイシュッショウ タイジュウジ ノ ケントウ

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Abstract

Purpose: With the increase in the number of births of extremely low birth weight infants (ELBWI) and very low birth weight infants (VLBWI), the frequency of enterostomy for ELBWI/VLBWI has increased recently. We reviewed recent enterostomies in ELBWI/VLBWI at our institution. Methods: Enterostomies were performed in a total of 32 neonates from March 2007 to February 2012, and 18 of them were ELBWI/VLBWI. The patients' records were retrospectively reviewed. Results: Of the 18 ELBWI/VLBWI, meconium related ileus (MRI) was found in 10 cases, focal intestinal perforation (FIP) in 4, necrotizing enterocolitis (NEC) in 3, and ileus suspicious of Hirschsprung disease in 1. There were no cases of enteral perforation or diffused peritonitis among the patients with MRI. A second enterostomy was required in 2 patients. All patients, except 1 with NEC, have survived to date. Conclusion: From the survival rate (94.4%) of our cases, enterostomy performed at appropriate times for each disease may lead to improvement in survival rates of ELBWI/VLBWI.

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