Management of pneumatosis intestinalis after stoma takedown in preterm infants

IF 0.3

Journal of Pediatric Surgery Open Pub Date : 2024-12-05 DOI:10.1016/j.yjpso.2024.100184

Shannon N. Acker , S. Chris Derderian , Diane Melara , Theresa Grover , Sai Krupa Rajaramsiva , Ann M. Kulungowski , Romeo C. Ignacio Jr.

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Abstract

Objective

We aimed to compare pre-term infants with and without post stoma takedown pneumatosis intestinalis (PSTPI), describe outcomes of PSTPI, and discuss current management strategies.

Study Design

We reviewed infants born at <34 weeks who underwent laparotomy with stoma formation and subsequent stoma takedown between 2010 and 2019 at two level IV NICUs. Comparisons were made between infants with PSTPI defined by the presence of PI on plain radiograph after stoma takedown (n = 13), and those without PSTPI (n = 102) with either Fisher's exact or Mann Whitney U test.

Result

No infants required urgent operation for PSTPI. All infants were treated with a period of NPO (median 8 days; range: 2–39) and antibiotic therapy (median 7 days; range:3–10). TPN at discharge was more common among the PSTPI group (31 % vs 10 %; p = 0.05).

Conclusions

Among this limited cohort, PSTPI among premature infants seems to follow a benign course and is often adequately treated with antibiotics and bowel rest.

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早产儿取口后肠性肺肿的处理

目的：我们旨在比较患有和不患有pstii的早产儿，描述pstii的结果，并讨论当前的管理策略。研究设计：我们回顾了2010年至2019年在两个IV级nicu中出生34周的婴儿，他们接受了剖腹手术并形成了造口并随后取出了造口。通过Fisher's exact或Mann Whitney U检验对有psppi的婴儿（n = 13）和无psppi的婴儿（n = 102）进行比较。结果无患儿需要紧急手术治疗。所有婴儿均接受NPO治疗(中位8天；范围：2-39天)和抗生素治疗(中位7天；范围:3 - 10)。出院时TPN在PSTPI组中更为常见(31% vs 10%；P = 0.05)。结论：在这个有限的队列中，早产儿的PSTPI似乎遵循良性过程，并且通常通过抗生素和肠道休息进行充分治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Surgery Open

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