Abstract
Neonates with intestinal pathology may require staged surgery with creation of an enterostomy and mucous fistula (MF). Refeeding (MFR) of ostomy output may minimize fluid and electrolyte losses and reduce dependence on parenteral nutrition (PN), though a paucity of evidence exists to support this practice. The purpose of this study was to assess the outcomes of infants undergoing MFR and document associated complications. With REB approval, infants with intestinal failure undergoing MFR between January 2000 and December 2012 were identified. A chart review was conducted and relevant data were collected. Descriptive statistics were used. Twenty-three neonates underwent MFR. Mean gestational age and birth weight were 35weeks and 2416grams. Pathologies included intestinal atresia (n=12), necrotizing enterocolitis (n=5), meconium ileus (n=4), and other (n=6). Seven patients were able to wean from PN. Four patients had complications: 3 had perforation of the MF, 1 had bleeding. Four patients died, with one death directly attributable to MFR. In this cohort MF refeeding was associated with significant complications and ongoing PN dependence. With advances in intestinal rehabilitation and PN, the benefit of MF refeeding must be weighe...Continue Reading
References
Nov 1, 1992·Journal of Pediatric Surgery·J P CezardJ Navarro
Jan 1, 1987·Journal of Enterostomal Therapy·R L Riggs
Jun 1, 1985·Journal of Pediatric Gastroenterology and Nutrition·B L PuppalaK Napier
Jan 1, 1997·Pediatric Surgery International·K SchäferR Daum
Aug 12, 1999·Journal of Pediatric Surgery·K Al-HarbiP G Fitzgerald
May 3, 2002·Nutrition·Sachin SuriK L N Rao
Dec 26, 2003·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Victoria A GardnerLorraine Chessell
Jun 10, 2004·Journal of Pediatric Gastroenterology and Nutrition·Kenneth K Y WongPaul K H Tam
Aug 1, 2006·Journal of Pediatric Gastroenterology and Nutrition·Lydia RichardsonHeike Rabe
Mar 6, 2007·Journal of Pediatric Surgery·Akshay PratapShailesh Adhikary
May 9, 2008·Acta Paediatrica·Carmen Mesas BurgosYigael Finkel
Jul 22, 2008·Journal of Pediatric Surgery·Hannah G PiperTom Jaksic
Jan 23, 2009·Journal of Pediatric Surgery·Thamar H StollmanRene M H Wijnen
Aug 4, 2009·Pediatric Surgery International·Sathyaprasad C BurjonrappaSarah Bouchard
Sep 8, 2010·Pediatric Surgery International·Sathyaprasad BurjonrappaSarah Bouchard
Oct 7, 2010·Early Human Development·Deirdre A Kelly
Oct 8, 2013·Journal of Pediatric Surgery·Abdullah AlshehriUNKNOWN Canadian Pediatric Surgery Network
Nov 5, 2013·Nutrition Reviews·Hongliang TianKehu Yang
May 6, 2014·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Michelle VeenstraMichael Klein
Citations
Sep 12, 2016·Journal of Pediatric Surgery·Colin D GauseHoward I Pryor
Sep 1, 2016·Seminars in Fetal & Neonatal Medicine·Olivia Mayer, John A Kerner
Sep 28, 2016·Journal of Pediatric Surgery·Eugene C T LauPaul K H Tam
Jun 26, 2018·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Vikram J ChristianScott Welak
Aug 10, 2019·Pediatric Surgery International·Kiyoaki YabeChikako Nakata
May 10, 2020·World Journal of Surgery·Mary E BrindleGregg Nelson
Dec 27, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Serpil SancarPaul Hechenleitner
Nov 11, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Harmit GhattauraIngo Jester
Jan 28, 2021·Nutrients·Laura MoschinoGiovanna Verlato
Feb 20, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mehmet Surhan ArdaHüseyin Ilhan
Aug 5, 2021·Journal of Pediatric Gastroenterology and Nutrition·Sean D WoodsAnthony J Piazza