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 p...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-04-01
|
| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12887-019-1488-5 |
| _version_ | 1818600290254848000 |
|---|---|
| author | Jens Kristian Bælum Lars Rasmussen Niels Qvist Mark Bremholm Ellebæk |
| author_facet | Jens Kristian Bælum Lars Rasmussen Niels Qvist Mark Bremholm Ellebæk |
| author_sort | Jens Kristian Bælum |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-16T12:33:08Z |
| format | Article |
| id | doaj.art-802a590f878c4d45b70f25509f3e9b43 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-16T12:33:08Z |
| publishDate | 2019-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-802a590f878c4d45b70f25509f3e9b432022-12-21T22:31:39ZengBMCBMC Pediatrics1471-24312019-04-011911510.1186/s12887-019-1488-5Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University HospitalJens Kristian Bælum0Lars Rasmussen1Niels Qvist2Mark Bremholm Ellebæk3Surgical Department A, Odense University HospitalSurgical Department A, Odense University HospitalSurgical Department A, Odense University HospitalSurgical Department A, Odense University HospitalAbstract 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.http://link.springer.com/article/10.1186/s12887-019-1488-5Necrotizing enterocolitisEnterostomyStenosisComplications |
| spellingShingle | Jens Kristian Bælum Lars Rasmussen Niels Qvist Mark Bremholm Ellebæk Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital BMC Pediatrics Necrotizing enterocolitis Enterostomy Stenosis Complications |
| title | Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital |
| title_full | Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital |
| title_fullStr | Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital |
| title_full_unstemmed | Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital |
| title_short | Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital |
| title_sort | enterostomy complications in necrotizing enterocolitis nec surgery a retrospective chart review at odense university hospital |
| topic | Necrotizing enterocolitis Enterostomy Stenosis Complications |
| url | http://link.springer.com/article/10.1186/s12887-019-1488-5 |
| work_keys_str_mv | AT jenskristianbælum enterostomycomplicationsinnecrotizingenterocolitisnecsurgeryaretrospectivechartreviewatodenseuniversityhospital AT larsrasmussen enterostomycomplicationsinnecrotizingenterocolitisnecsurgeryaretrospectivechartreviewatodenseuniversityhospital AT nielsqvist enterostomycomplicationsinnecrotizingenterocolitisnecsurgeryaretrospectivechartreviewatodenseuniversityhospital AT markbremholmellebæk enterostomycomplicationsinnecrotizingenterocolitisnecsurgeryaretrospectivechartreviewatodenseuniversityhospital |