Surgical and nutritional outcomes of extremely low birth weight infants with enterostomy: a single-center retrospective study in China.

IF 1.6 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2025-08-04 DOI:10.1007/s00383-025-06139-y

Huijia Lin, Jiajing Ge, Guoqiang Qi, Jinfa Tou, Xiaolu Ma, Zheng Chen

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引用次数: 0

Abstract

Background: We investigated the outcomes of extremely low birth weight (ELBW) infants who underwent intestinal enterostomy.

Methods: This retrospective study included ELBW infants who were hospitalized from January 1, 2019, to December 31, 2023, and underwent enterostomy. Data regarding demographic information, complications, and outcomes were collected.

Results: In total, 52 ELBW infants who underwent enterostomy were enrolled. Among them, 30 (57.7%) had necrotizing enterocolitis (NEC) and 10 (19.2%) had spontaneous intestinal perforation. Forty-seven infants survived at discharge. Twenty-nine infants developed intestinal failure, while 36 developed short bowel syndrome. The median gestational age in the intestinal failure group was 26.9 (1.9) weeks, lower than that of 27.2 (1.5) weeks in the non-intestinal failure group (p = 0.024). Infants with intestinal failure achieved full enteral nutrition at an average age of 112(32) days; this was significantly greater than the age of 71(41) days in the non-intestinal failure group (p < 0.001).

Conclusion: NEC was the main disease in ELBW infants undergoing intestinal enterostomy, with a high incidence of SBS and IF postoperatively. Infants with IF have a lower gestational age and a longer parenteral nutrition duration. This finding highlights the need for more rational nutritional strategies.

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极低出生体重儿肠造口术的手术和营养结局：一项中国单中心回顾性研究

背景：我们研究了极低出生体重（ELBW）婴儿接受肠造口术的结果。方法：本回顾性研究纳入2019年1月1日至2023年12月31日住院并行肠造口术的ELBW婴儿。收集有关人口统计信息、并发症和结局的数据。结果：总共有52例ELBW婴儿接受了肠造口术。其中坏死性小肠结肠炎（NEC） 30例（57.7%），自发性肠穿孔10例（19.2%）。47名婴儿出院时存活。29名婴儿出现肠衰竭，36名出现短肠综合征。肠衰竭组的中位胎龄为26.9（1.9）周，低于非肠衰竭组的中位胎龄27.2（1.5）周（p = 0.024）。肠衰竭的婴儿在平均年龄112（32）天时获得充分的肠内营养；结论：NEC是ELBW婴儿肠造口术的主要疾病，术后SBS和IF的发生率较高。IF患儿的胎龄较低，肠外营养持续时间较长。这一发现强调了更合理的营养策略的必要性。

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

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor