Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital

Jens Kristian Bælum*, Lars Rasmussen, Niels Qvist, Mark Bremholm Ellebæk

*Corresponding author for this work

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Abstract

Background: The aim was to investigate the incidence of postoperative complications to surgery for necrotizing enterocolitis (NEC) with primary focus on enterostomy related complications. Methods: A retrospective chart review of surgically treated NEC during the period from 2008 to 2014 was performed. Enterostomy with secondary anastomosis was our standard treatment. Postoperative complications were classified according to the Clavien-Dindo Classification (CDC). Results: Forty-two cases were included in the study. NEC was most frequently located in the small bowel and the length of resected intestine was median 15 cm (2-50). Thirty-nine (93%) patients received an ileostomy and the rest a colostomy. Twenty-two (52%) patients underwent a total of 35 reoperations, and 25 (71%) of these were stoma related with stenosis was the most frequent cause, other causes of reoperation were re-NEC, high-output ileostomy, Ileus and second look. Conclusions: The rate of reoperation due to complications was high and most often caused by stoma related complications.

Original languageEnglish
Article number110
JournalBMC Pediatrics
Volume19
Number of pages5
ISSN1471-2431
DOIs
Publication statusPublished - 13. Apr 2019

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Necrotizing Enterocolitis
Reoperation
Ileostomy
Colostomy
Ileus
Intestines
Pathologic Constriction
Incidence

Keywords

  • Complications
  • Enterostomy
  • Necrotizing enterocolitis
  • Stenosis

Cite this

@article{f3a08b12525042ce8e83c21d84d86ae4,
title = "Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital",
abstract = "Background: The aim was to investigate the incidence of postoperative complications to surgery for necrotizing enterocolitis (NEC) with primary focus on enterostomy related complications. Methods: A retrospective chart review of surgically treated NEC during the period from 2008 to 2014 was performed. Enterostomy with secondary anastomosis was our standard treatment. Postoperative complications were classified according to the Clavien-Dindo Classification (CDC). Results: Forty-two cases were included in the study. NEC was most frequently located in the small bowel and the length of resected intestine was median 15 cm (2-50). Thirty-nine (93{\%}) patients received an ileostomy and the rest a colostomy. Twenty-two (52{\%}) patients underwent a total of 35 reoperations, and 25 (71{\%}) of these were stoma related with stenosis was the most frequent cause, other causes of reoperation were re-NEC, high-output ileostomy, Ileus and second look. Conclusions: The rate of reoperation due to complications was high and most often caused by stoma related complications.",
keywords = "Complications, Enterostomy, Necrotizing enterocolitis, Stenosis",
author = "B{\ae}lum, {Jens Kristian} and Lars Rasmussen and Niels Qvist and Elleb{\ae}k, {Mark Bremholm}",
year = "2019",
month = "4",
day = "13",
doi = "10.1186/s12887-019-1488-5",
language = "English",
volume = "19",
journal = "B M C Pediatrics",
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Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital. / Bælum, Jens Kristian; Rasmussen, Lars; Qvist, Niels; Ellebæk, Mark Bremholm.

In: BMC Pediatrics, Vol. 19, 110, 13.04.2019.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital

AU - Bælum, Jens Kristian

AU - Rasmussen, Lars

AU - Qvist, Niels

AU - Ellebæk, Mark Bremholm

PY - 2019/4/13

Y1 - 2019/4/13

N2 - Background: The aim was to investigate the incidence of postoperative complications to surgery for necrotizing enterocolitis (NEC) with primary focus on enterostomy related complications. Methods: A retrospective chart review of surgically treated NEC during the period from 2008 to 2014 was performed. Enterostomy with secondary anastomosis was our standard treatment. Postoperative complications were classified according to the Clavien-Dindo Classification (CDC). Results: Forty-two cases were included in the study. NEC was most frequently located in the small bowel and the length of resected intestine was median 15 cm (2-50). Thirty-nine (93%) patients received an ileostomy and the rest a colostomy. Twenty-two (52%) patients underwent a total of 35 reoperations, and 25 (71%) of these were stoma related with stenosis was the most frequent cause, other causes of reoperation were re-NEC, high-output ileostomy, Ileus and second look. Conclusions: The rate of reoperation due to complications was high and most often caused by stoma related complications.

AB - Background: The aim was to investigate the incidence of postoperative complications to surgery for necrotizing enterocolitis (NEC) with primary focus on enterostomy related complications. Methods: A retrospective chart review of surgically treated NEC during the period from 2008 to 2014 was performed. Enterostomy with secondary anastomosis was our standard treatment. Postoperative complications were classified according to the Clavien-Dindo Classification (CDC). Results: Forty-two cases were included in the study. NEC was most frequently located in the small bowel and the length of resected intestine was median 15 cm (2-50). Thirty-nine (93%) patients received an ileostomy and the rest a colostomy. Twenty-two (52%) patients underwent a total of 35 reoperations, and 25 (71%) of these were stoma related with stenosis was the most frequent cause, other causes of reoperation were re-NEC, high-output ileostomy, Ileus and second look. Conclusions: The rate of reoperation due to complications was high and most often caused by stoma related complications.

KW - Complications

KW - Enterostomy

KW - Necrotizing enterocolitis

KW - Stenosis

U2 - 10.1186/s12887-019-1488-5

DO - 10.1186/s12887-019-1488-5

M3 - Journal article

VL - 19

JO - B M C Pediatrics

JF - B M C Pediatrics

SN - 1471-2431

M1 - 110

ER -