Three cases of bowel perforation prior to surgery for congenital heart disease in neonatal period: Determination of the timing for ileostomy, colostomy, or other laparotomies and heart surgery.

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  • Masue Tatsuhiko
    Department of Anesthesiology, Gifu Prefectural General Medical Center
  • Iida Miki
    Department of Anesthesiology, Gifu Prefectural General Medical Center
  • Nakamura Yoshimi
    Department of Anesthesiology, Gifu Prefectural General Medical Center
  • Ida Yu
    Department of Anesthesiology, Gifu Prefectural General Medical Center
  • Yunoki Kazuma
    Department of Anesthesia, Kobe City Medical Center General Hospital
  • Ihara Masayuki
    Department of Anesthesia, Rinku Genereal Medical Center

Bibliographic Information

Other Title
  • 新生児期手術適応の先天性心疾患患児の消化管穿孔の3症例―開腹人工肛門造設手術と開心術とのタイミング―
  • 症例報告 新生児期手術適応の先天性心疾患患児の消化管穿孔の3症例 : 開腹人工肛門造設手術と開心術とのタイミング
  • ショウレイ ホウコク シンセイジキ シュジュツ テキオウ ノ センテンセイシン シッカンカンジ ノ ショウカカン センコウ ノ 3 ショウレイ : カイフク ジンコウコウモンゾウセツシュジュツ ト カイシンジュツ ト ノ タイミング

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Abstract

<p> We report 3 cases of patients with bowel perforation that occurred prior to surgery for congenital heart disease in the neonatal period. Emergent laparotomy is indicated for bowel perforation. However, the patient outcomes and infection risk from heart surgeries succeeding ileostomy, colostomy, or other laparotomies are unclear. We determined the timing for ileostomy, colostomy, or other laparotomies and heart surgery in consideration of the cardiac conditions of the patients (necrotizing enterocolitis with patent ductus arteriosus in an extremely low-birth-weight infant, intussusception with hypoplastic left heart syndrome, and idiopathic colonic perforation with complete transposition of the great arteries [type I], respectively). In all the cases described herein, favorable outcomes were obtained with no complications during the perioperative period in the heart surgeries.</p>

Journal

  • Cardiovascular Anesthesia

    Cardiovascular Anesthesia 20 (1), 69-73, 2016

    Japanese Society of Cardiovascular Anesthesiologists

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