PMID: 3772700Sep 1, 1986Paper

Meconium ileus: is a stoma necessary?

Journal of Pediatric Surgery
L T NguyenD Doody

Abstract

During the 15 years from 1970 to 1984, 38 infants, all with cystic fibrosis, were treated for meconium ileus at The Montreal Children's Hospital and Ste-Justine Hospital for Children. Thirteen patients (34%) had complicated meconium ileus that included 7 perforations (2 colon, 5 ileum), 4 volvulus, and 2 atresia with meconium pseudocyst. In this group, various operations were done: resection with primary anastomosis for atresia, or resection with enterostomy for peritonitis or volvulus. One died shortly after surgery. Of 25 patients with uncomplicated meconium ileus (66%), one died shortly after arrival from respiratory distress, leaving 24 patients available for study. Gastrografin enema was attempted on 20 patients with eight successes (40%). Of the remaining 16 patients with unresolved meconium ileus, nine were treated with laparotomy and ileostomy, and one with laparotomy and T-tube irrigation. Six patients were treated by laparotomy and enterotomy for irrigation with N-acetylcysteine and evacuation by Fogarty catheter, a technique not widely used. No one succumbed in this group. This latter method of management is recommended for patients with simple uncomplicated meconium ileus.

References

Dec 1, 1979·Journal of Pediatric Surgery·S Venugopal, B Shandling
Jun 1, 1971·Journal of Pediatric Surgery·M KalayogluW B Kiesewetter
May 1, 1972·American Journal of Surgery·P NankinT G Baffes
Feb 1, 1981·Journal of Pediatric Surgery·F J HarbergW J Pokorny

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Citations

Feb 1, 1997·Pediatric Surgery International·Z SteinerS Eldar
May 1, 1993·World Journal of Surgery·F J Rescorla, J L Grosfeld
Sep 21, 2007·Pediatric Surgery International·Jhalini JawaheerAntonino Morabito
Apr 23, 2011·Pediatric Surgery International·A KarimiH A Heij
Feb 29, 2000·Journal of Pediatric Surgery·G Z MakM L Brandt
Jul 6, 2011·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Maulana M AnsariShahla Haleem
Aug 1, 2006·Asian Journal of Surgery·Hagith Nagar
Mar 1, 1996·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·R A Duffield
Jun 1, 1992·The British Journal of Surgery·J G DochertyR Carachi

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