Enterostomy in neonates: relevant review of surgical treatment
https://doi.org/10.21508/1027-4065-2022-67-1-21-27
Abstract
Even though enterostomy in neonates is widely used in the treatment of congenital and acquired pathology, there is still no generally accepted tactics for stoma formation, prevention of associated complications, and the timing and method of stoma closure. Existing publications are few, prospective multicenter studies, systematic reviews, and meta-analyses are practically absent in Russia. The purpose of this review is to search for relevant publications on surgical treatment and complications in neonates with small-bowel stomas over the last 20 years. Study articles were identified through a search of the Scopus, Web of Science, MedLine, The Cochrane Library, Elibrary, and CyberLeninka electronic databases.
About the Authors
S. D. IvanovRussian Federation
Tomsk
G. V. Slizovskij
Russian Federation
Tomsk
J. V. Shikunova
Russian Federation
Tomsk
References
1. Novozhilov V.A., Kozlov Yu.A., Kashitsyna A.A., Podkamenev A.V., Krasnov P.A., Kononenko M.I. The role of entero- and colostomy in management of congenital gastrointestinal diseases in newborns and infants. Sib med zhurn (Irkutsk) 2010; 3: 112–114. (in Russ.)
2. Morozov D.A., Filippov Yu.V., Gorodkov S.Yu., Pimenova E.S., Napol’nikov F.K. Surgery of congenital obstruction of the intestine: analysis of 100 observations. Rossiyskiy vestnik detskoy khirurgii, anesteziologii i reanimatologii 2011; 2: 21–29. (in Russ.)
3. Thyoka M., Eaton S., Kiely E.M., Curry J.I., Drake D.P., Cross K.M. et al. Outcomes of diverting jejunostomy for severe necrotizing enterocolitis. J Pediatr Surg 2011; 46(6): 1041– 1044. DOI: 10.1016/j.jpedsurg.2011.03.024
4. Podshivalin A.A., Morozov V.I., Zykova M.A., Shalimov S.V., Karpova O.A., Bobyleva E.V. Comparative characteristics methods surgical treatment meconium peritonitis in the newborn. Prakticheskaya meditsina 2012; 7(62): 101–103. (in Russ.)
5. Ameh E.A., Ayeni M.A., Kache S.A., Mshelbwala P.M. Role of damage control enterostomy in management of children with peritonitis from acute intestinal disease. African J Paediatr Surg 2013; 10(4): 315–319. DOI: 10.4103/0189–6725.125429
6. Amidkhonova S.A., Bairov V.G., Azizov B.Dzh. Results of treatment of newborns with enteral stoma. Zdravookhranenie Tadzhikistana 2014; 4 (323): 27–32. (in Russ.)
7. Aksel’rov M.A., Emel’yanova V.A., Sergienko T.V. The surgical problem of the neonatal period — progressing necrotizing enterocolitis — and ways of its overcoming. Vyatskiy meditsinskiy vestnik 2015; 2(46): 17–20. (in Russ.)
8. Haithem H.A.A. Meconium ileus a study and comparison between common operative procedures performed in basrah. Basrah J Surg 2016; 22(2): 84–90. DOI: 10.33762/ bsurg.2016.116618
9. de Haro Jorge I., Prat Ortells J., Albert Cazalla A., Muñoz Fernández E., Castañón García-Alix M. Long term outcome of preterm infants with isolated intestinal perforation: A comparison between primary anastomosis and ileostomy. J Pediatr Surg 2016; 51(8): 1251–1254. DOI: 10.1016/j.jpedsurg.2016.02.086
10. Kozlov Yu.A., Novozhilov V.A., Koval’kov K.A., Chubko D.M., Rasputin A.A., Veber I.N. et al. Results of the treatment of spontaneous intestinal perforation in preterm children. Detskaya khirurgiya 2017; 21(6): 284–290 (in Russ.) DOI: 10.18821/1560– 9510–2017–21–6–284–290
11. Geng Q., Wang Y., Li L., Guo C. Early postoperative outcomes of surgery for intestinal perforation in NEC based on intestinal location of disease. Medicine 2018; 97(39):e12234. DOI: 10.1097/MD.0000000000012234
12. Peng Y.F., Zheng H.Q., Zhang H., He Q.M., Wang Z., Zhong W. et al. Comparison of outcomes following three surgical techniques for patients with severe jejunoileal atresia. Gastroenterol Report 2019; 7(6): 444–448. DOI: 10.1093/ gastro/goz026
13. Pavlushin P.M., Gramzin A.V., Koynov Yu.Yu., Krivosheenko N.V., Tsyganok V.N., Chikinev Yu.V. The experience of surgical treatment of small bowel atresia. Meditsinskiy al’manakh 2019; 5(61): 26–29. (in Russ.) DOI: 10.21145/2499–9954– 2019–5–26–29
14. Martynov I., Raedecke J., Klima-Frysch J., Kluwe W., Schoenberger J. The outcome of Bishop–Koop procedure compared to divided stoma in neonates with meconium ileus, congenital intestinal atresia and necrotizing enterocolitis. Medicine 2019; 98(27): e16304. DOI: 10.1097/MD.0000000000016304
15. Aguayo P., Fraser J.D., Sharp S., St Peter S.D., Ostlie D.J. Stomal complications in the newborn with necrotizing enterocolitis. J Surg Res 2009; 157(2): 275–278. DOI: 10.1016/j. jss.2009.06.005
16. Smirnov A.N., Dronov A.F., Kholostova V.V., Mannanov A.G., Ermolenko E.Yu. Intestinal stoma in children: related problems and solutions. Rossiyskiy vestnik detskoy khirurgii, anesteziologii i reanimatologii 2013; 4: 71–82. (in Russ.)
17. Kargl S., Wagner O., Pumberger W. Ileostomy Complications in Infants less than 1500 grams — Frequent but Manageable. J Neonatal Surg 2017; 6(1): 4. DOI: 10.21699/jns.v6i1.451
18. Sultonov Sh.R., Pulatov Kh.K., Shernazarov I.B., Rakhmonov Sh.D., Dododzhonov Yu.T., Atoev I.K. et al. Treatment of peristomal complications in children with external artificial small intestine fistulas. Vestnik Avitsenny 2017; 3: 313–319. DOI: 10.25005/2074– 0581–2017–19–3–313–319. (in Russ.)
19. Minaev S.V., Bykov N.I., Isaeva A.V., Kachanov A.V., Tovkan’ E.A., Filip’eva N.V. et al. The complications of intestinal stoma in children. Khirurgiya 2017; 1: 54–57. (in Russ.) DOI: 10.17116/hirurgia2017154–57
20. Aksel’rov M.A., Razin M.P. Prevention of complications by improveming indications and methods forming artificial intestinal fistulas in children. Vyatskiy meditsinskiy vestnik 2017; 4(56): 4–8. (in Russ.]
21. Wolf L., Gfroerer S., Fiegel H., Rolle U. Complications of newborn enterostomies. World J Clin Cases 2018; 6(16): 1101– 1110. DOI: 10.12998/wjcc.v6.i16.1101
22. Bælum J. K., Rasmussen L., Qvist N., Ellebæk M.B. Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital. BMC pediatrics 2019; 19(1): 110. DOI: 10.1186/s12887– 019–1488–5
23. Hillyer M.M., Baxter K.J., Clifton M.S., Gillespie S.E., Bryan L.N., Travers C.D. et al. Primary versus secondary anastomosis in intestinal atresia. Journal of pediatric surgery 2019; 54(3): 417–422. DOI: 10.1016/j.jpedsurg.2018.05.003
24. Haricharan R.N., Gallimore J.P., Nasr A. Primary anastomosis or ostomy in necrotizing enterocolitis? Pediatric Surg Int 2017; 33(11): 1139–1145. DOI: 10.1007/s00383–017–4126-z
25. De Carli C., Ojeda M., Veloce D., González M. T-tube enterostomy for the management of complicated high jejunal atresia. An innovative procedure for complex intestinal entity A technical report. J Pediatr Surg Case Reports 2016; 7: 39– 42. DOI: 10.1016/j.epsc.2016.02.016
26. Hasan M.S., Mitul A.R., Karim S., Noor-Ul Ferdous K.M., Islam M.K. Comparison of T Tube Ileostomy and Bishop Koop Ileostomy for the Management of Uncomplicated Meconium Ileus. J Neonatal Surg 2017; 6(3): 56. DOI: 10.21699/ jns.v6i3.617
27. Hirata K., Iwasaki E., Shoji Y., Yoneda A., Wada K. Early ileostomy in a 419 g infant and long-term follow up: A case report. Pediatrics international: official journal of the Japan Pediatric Society 2020; 62(1): 94–95. DOI: 10.1111/ ped.14045
28. Kondo K., Chijiiwa K., Mukai M., Iwamura T., Matsuda H., Kaneko M. et al. New technique for enterostomy of extremely low-birth-weight infants — intestinal anchoring with gauze J Pediatr Surg 2008; 43(9): 1755–1760. DOI: 10.1016/j.jpedsurg.2008.04.032
29. Nose S., Sasaki T., Saka R., Minagawa K., Okuyama H A sutureless technique using cyanoacrylate adhesives when creating a stoma for extremely low birth weight infants. SpringerPlus. 2016; 5: 189. DOI: 10.1186/s40064–016–1852-y
30. Ohashi K., Koshinaga T., Uehara S., Furuya T., Kaneda H., Kawashima H. et al. Sutureless enterostomy for extremely low birth weight infants. J Pediatr Surg 2017; 52(11): 1873–1877. DOI: 10.1016/j.jpedsurg.2017.08.009
31. Sparks E.A., Velazco C.S., Fullerton B.S., Fisher J.G., Khan F.A., Hall A.M. et al. Ileostomy Prolapse in Children with Intestinal Dysmotility. Gastroenterol Res Pract 2017; ID 7182429. DOI: 10.1155/2017/7182429
32. Бабич И.И., Мельников Ю.Н. Хирургические аспекты лечения осложненных форм кишечной непроходимости у детей. Новости хирургии 2020; 2: 188–196. [Babich I.I., Mel’nikov Yu.N. Surgical aspects of treatment of complicated forms of intestinal obstruction in children. Novosti khirurgii 2020; 2: 188–196. (in Russ.)] DOI: 10.18484/2305– 0047.2020.2.188
33. Rees C.M., Pierro A., Eaton S. Neurodevelopmental outcomes of neonates with medically and surgically treated necrotizing enterocolitis. Arch Dis Child Fetal Neonatal Ed. 2007; 92: F193–F198. DOI: 10.1136/adc.2006.099929
34. Chong C., van Druten J., Briars G., Eaton S., Clarke P., Tsang T. et al. Neonates living with enterostomy following necrotising enterocolitis are at high risk of becoming severely underweight. Eur J Pediatr 2019; 178(12): 1875–1881. DOI: 10.1007/s00431–019–03440–6
35. Trautmann T., Bang C., Franke A., Vincent D., Reinshagen K., Boettcher M. The impact of oral sodium chloride supplementation on thrive and the intestinal microbiome in neonates with small bowel ostomies: a prospective cohort study. Frontiers Immunol 2020; 11: 1421. DOI: 10.3389/ fimmu.2020.01421
36. Sanchez S.E., Braun L.P., Mercer L.D., Sherrill M., Stevens J., Javid, P.J. The effect of lipid restriction on the prevention of parenteral nutrition-associated cholestasis in surgical infants. J Pediatr Surg 2013; 48(3): 573–578. DOI: 10.1016/ j.jpedsurg.2012.08.016
37. Stanger J.D., Oliveira C., Blackmore C., Avitzur Y., Wales P.W. The impact of multi-disciplinary intestinal rehabilitation programs on the outcome of pediatric patients with intestinal failure: a systematic review and meta-analysis. J Pediatr Surg 2013; 48(5): 983–992. DOI: 10.1016/j.jpedsurg.2013.02.070
38. Гассан Т.А., Степанов Э.А., Красовская Т.В., Голоденко Н.В. Морфологическое обоснование тактики при закрытии кишечных стом, сформированных в периоде новорожденности. Детская хирургия 2003; 6: 10–15. [Gassan T.A., Stepanov E.A., Krasovskaya T.V., Golodenko N.V. A morphological substantiation of a tactic in closing the intestinal stomas formed during the neonatal period. Detskaya khirurgiya 2003; 6: 11–13. (in Russ.)]
39. Wong K.K., Lan L.C., Lin S.C., Chan A.W., Tam P.K. Mucous fistula refeeding in premature neonates with enterostomies. Journal of pediatric gastroenterology and nutrition. 2004; 39(1): 43–45. DOI: 10.1097/00005176–200407000–00009
40. Haddock C.A., Stanger J.D., Albersheim S.G., Casey L.M., Butterworth S.A. Mucous fistula refeeding in neonates with enterostomies. J Pediatr Surg 2015; 50(5): 779–782. DOI: 10.1016/j.jpedsurg.2015.02.041
41. Lau E.C., Fung A.C., Wong K.K., Tam P.K. Beneficial effects of mucous fistula refeeding in necrotizing enterocolitis neonates with enterostomies. J Pediatr Surg 2016; 51(12): 1914– 1916. DOI: 10.1016/j.jpedsurg.2016.09.010
42. Inoue S., Odaka A., Muta Y., Beck Y., Sobajima H., Tamura M. Recycling small intestinal contents from proximal ileostomy in low-birth-weight infants with small bowel perforation. J Pediatr Gastroenterol Nutrition 2017; 64(1): e16–e18. DOI: 10.1097/MPG.0000000000000577
43. Yabe K., Kouchi K., Takenouchi A., Matsuoka A., Korai T., Nakata C. Safety and efficacy of mucous fistula refeeding in low-birth-weight infants with enterostomies. Pediatr Surg Int 2019; 35(10): 1101–1107. DOI: 10.1007/s00383–019– 04533-x
44. Bhat S., Cameron N. R., Sharma P., Bissett I. P., O’Grady G. Chyme recycling in the management of small bowel double enterostomy in pediatric and neonatal populations: A systematic review. Clinical nutrition ESPEN 2020; 37: 1–8. DOI: 10.1016/j.clnesp.2020.03.013
45. Struijs M.C., Sloots C.E., Hop W.C., Tibboel D., Wijnen R.M. The timing of ostomy closure in infants with necrotizing enterocolitis: a systematic review. Pediatr Surg Int 2012; 28(7): 667–672. DOI: 10.1007/s00383–012–3091–9
46. Banerjee D.B., Vithana H., Sharma S., Tsang T. Outcome of stoma closure in babies with necrotising enterocolitis: early vs late closure. Pediatr Surg Int 2017; 33(7): 783–786. DOI: 10.1007/s00383–017–4084–5
47. Al-Hudhaif J., Phillips S., Gholum S., Puligandla P.P., Flageole H. The timing of enterostomy reversal after necrotizing enterocolitis. J Pediatr Surg 2009; 44(5): 924–927. DOI: 10.1016/j.jpedsurg.2009.01.028
48. Lee J., Kang M.J., Kim H.S., Shin S.H., Kim H.Y., Kim E.K. et al. Enterostomy closure timing for minimizing postoperative complications in premature infants. Pediatr Neonatol 2014; 55(5): 363–368. DOI: 10.1016/j.pedneo.2014.01.001
49. Yang H.B., Han J.W., Youn J.K., Oh C., Kim H.Y., Jung S.E. The optimal timing of enterostomy closure in extremely low birth weight patients for acute abdomen. Scientific Reports 2018; 8(1): 15681. DOI: 10.1038/s41598–018–33351–9
50. Talbot L.J., Sinyard R.D., Rialon K.L., Englum B.R., Tracy E.T., Rice H.E. et al. Influence of weight at enterostomy reversal on surgical outcomes in infants after emergent neonatal stoma creation. J Pediatr Surg 2017; 52(1): 35–39. DOI: 10.1016/j.jpedsurg.2016.10.015
51. Bonasso P.C., Dassinger M.S., Mehl S.C., Gokun Y., Gowen M.S., Burford J.M. et al. Timing of enterostomy closure for neonatal isolated intestinal perforation. J Pediatr Surg 2020; 55(8): 1535–1541. DOI: 10.1016/j.jpedsurg.2019.12.001
52. Aksel’rov M.A. The first experience of using delayed compression anastomosis with bowel resection in peritonitis in children. Detskaya khirurgiya 2010; 4: 51–52. (in Russ.)
53. Gatkin E.Ya., Razumovskiy A.Yu., Korsunkiy A.A.., Konovalov A.K., Sergeev A.V., Vinogradov A.Ya. et al. Interintestinal anastomoses formation using permanent magnet in surgical treatment of children with intestinal stomas. Khirurgiya 2015; 5: 45–50. (in Russ.) DOI: 10.17116/hirurgia2015545–50
Review
For citations:
Ivanov S.D., Slizovskij G.V., Shikunova J.V. Enterostomy in neonates: relevant review of surgical treatment. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2022;67(1):21-27. (In Russ.) https://doi.org/10.21508/1027-4065-2022-67-1-21-27