Treatment of jejunoileal atresia by primary anastomosis or enterostomy: Double the operations, double the risk of complications
Journal of Pediatric Surgery Aug 03, 2021
Schattenkerk LDE, Backes M, de Jonge WJ, et al. - Researchers performed a comparison in terms of the occurrence of severe postoperative complications (defined as Clavien-Dindo ≥ III within 30 days), as well as in terms of the occurrence of different short- and long-term complications, following treatment for jejunoileal atresia either by primary anastomosis or the combined enterostomy procedures. They assessed 80 patients, of whom 48 (60%) received a primary anastomosis and 32 (40%) an enterostomy. Findings revealed the occurrence of significantly more CD ≥ III following treatment by enterostomy. In addition, significantly more short-term (surgical site infection, wound dehiscence) and long-term (short bowel syndrome, adhesive bowel obstruction) complications occurred in individuals treated by enterostomy. Although perioperative factors might necessitate an enterostomy, a low threshold is advised for conducting a primary anastomosis when in doubt, taking into account the double risk of major complications identified in patients managed with a temporary enterostomy.
-
Exclusive Write-ups & Webinars by KOLs
-
Daily Quiz by specialty
-
Paid Market Research Surveys
-
Case discussions, News & Journals' summaries