{"title":"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","authors":"Huijia Lin, Jiajing Ge, Guoqiang Qi, Jinfa Tou, Xiaolu Ma, Zheng Chen","doi":"10.1007/s00383-025-06139-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>We investigated the outcomes of extremely low birth weight (ELBW) infants who underwent intestinal enterostomy.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"244"},"PeriodicalIF":1.6000,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Surgical and nutritional outcomes of extremely low birth weight infants with enterostomy: a single-center retrospective study in China.\",\"authors\":\"Huijia Lin, Jiajing Ge, Guoqiang Qi, Jinfa Tou, Xiaolu Ma, Zheng Chen\",\"doi\":\"10.1007/s00383-025-06139-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>We investigated the outcomes of extremely low birth weight (ELBW) infants who underwent intestinal enterostomy.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":19832,\"journal\":{\"name\":\"Pediatric Surgery International\",\"volume\":\"41 1\",\"pages\":\"244\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-08-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatric Surgery International\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00383-025-06139-y\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Surgery International","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00383-025-06139-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
Surgical and nutritional outcomes of extremely low birth weight infants with enterostomy: a single-center retrospective study in China.
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.
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
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