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 Vol. 16 No. 6, December 2006
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AAP Grand Rounds 16:69 (2006)
© 2006 American Academy of Pediatrics

SURGERY

Anastomosis vs Stoma for Intestinal Perforation in Preterm Neonatal Surgery

Source: Singh M, Owen A, Gull, S, et al. Surgery for intestinal perforation in preterm neonates: anastomosis vs stoma. J Pediatr Surg. 2006;41:725–729; doi:10.1016/j.jpedsurg.2005.12.017[Medline]

The first 20% of the full text of this article appears below.

Authors from the Royal Manchester Children’s Hospital in the United Kingdom retrospectively reviewed all neonates requiring operative intervention for necrotizing enterocolitis or isolated perforation at a single neonatal surgical center between September 1996 and March 2004 (80 months) to compare primary resection and anastomosis with resection and creation of an enterostomy. Patients who underwent peritoneal drainage prior to laparotomy were excluded. Survival was defined as transfer back to the referring hospital or discharge home. A total of 68 patients with a median gestational age of 28.5 weeks and median birth weight of 940g were included. The individual surgeon decided the method of management for each patient . . . [Full Text of this Article]

Clinton M. Cavett, MD, FAAP
Carilion Medical Center for Children, Roanoke, VA