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Article: Mucous fistula refeeding in premature neonates with enterostomies

TitleMucous fistula refeeding in premature neonates with enterostomies
Authors
Issue Date2004
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jpgn.org
Citation
Journal Of Pediatric Gastroenterology And Nutrition, 2004, v. 39 n. 1, p. 43-45 How to Cite?
AbstractBackground: Premature Neonates With Short Bowel Syndrome Often Have Diverting Enterostomies And Distal Mucous Fistulae. The Authors Reviewed Their Experience In 12 Premature Neonates In Whom Proximal Bowel Contents Were Re-Fed Into The Mucous Fistula. Methods: We Reviewed The Records Of 12 Premature Neonates Who Presented With Acute Abdomen And Who Underwent Intestinal Resection With Formation Of Diverting Enterostomy And Mucous Fistula Between July 1999 And December 2002. All Received Parenteral Nutrition. Refeeding Of Enterostomy Contents Into The Distal Mucous Fistula Was Commenced After Patency Of The Distal Intestine Was Confirmed By Radiologic Examination. Demographic Data, Body Weight And Clinical Outcomes Were Recorded. Results: Median Gestational Age Was 31 Weeks And Mean Birth Weight Was 1.59 Kg. Diagnoses Included Necrotizing Enterocolitis (N = 6), Meconium Ileus-Like Conditions (N = 2), Ileal Atresia (N = 2), Malrotation With Volvulus (N = 1) And Focal Intestinal Perforation (N = 1). Refeeding Was Successfully Established In All Patients With No Complications. The Mean Duration Of Refeeding Was 63.5 Days. All Patients Achieved Good Weight Gain After Refeeding (18.9 +/- 2.9 G/D) With A Reduction Of Parenteral Nutrition Requirements. All Enterostomies Were Subsequently Closed. Four Patients Died Of Unrelated Causes After Reanastomosis And The Remaining Eight Were Discharged. Conclusions: Mucous Fistula Refeeding Is Safe In Premature Neonates With Enterostomies. It Can Prevent Disuse Atrophy In The Distal Loop And Facilitate Subsequent Reanastomosis. Furthermore, The Increased Absorptive Function Provided By The Small Bowel Incorporated In The Mucous Fistula Can Reduce The Requirement For Total Parenteral Nutrition.
Persistent Identifierhttp://hdl.handle.net/10722/84310
ISSN
2015 Impact Factor: 2.4
2015 SCImago Journal Rankings: 1.227
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorWong, KKYen_HK
dc.contributor.authorLan, LCLen_HK
dc.contributor.authorLin, CLen_HK
dc.contributor.authorChan, AWSen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:51:26Z-
dc.date.available2010-09-06T08:51:26Z-
dc.date.issued2004en_HK
dc.identifier.citationJournal Of Pediatric Gastroenterology And Nutrition, 2004, v. 39 n. 1, p. 43-45en_US
dc.identifier.issn0277-2116en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84310-
dc.description.abstractBackground: Premature Neonates With Short Bowel Syndrome Often Have Diverting Enterostomies And Distal Mucous Fistulae. The Authors Reviewed Their Experience In 12 Premature Neonates In Whom Proximal Bowel Contents Were Re-Fed Into The Mucous Fistula. Methods: We Reviewed The Records Of 12 Premature Neonates Who Presented With Acute Abdomen And Who Underwent Intestinal Resection With Formation Of Diverting Enterostomy And Mucous Fistula Between July 1999 And December 2002. All Received Parenteral Nutrition. Refeeding Of Enterostomy Contents Into The Distal Mucous Fistula Was Commenced After Patency Of The Distal Intestine Was Confirmed By Radiologic Examination. Demographic Data, Body Weight And Clinical Outcomes Were Recorded. Results: Median Gestational Age Was 31 Weeks And Mean Birth Weight Was 1.59 Kg. Diagnoses Included Necrotizing Enterocolitis (N = 6), Meconium Ileus-Like Conditions (N = 2), Ileal Atresia (N = 2), Malrotation With Volvulus (N = 1) And Focal Intestinal Perforation (N = 1). Refeeding Was Successfully Established In All Patients With No Complications. The Mean Duration Of Refeeding Was 63.5 Days. All Patients Achieved Good Weight Gain After Refeeding (18.9 +/- 2.9 G/D) With A Reduction Of Parenteral Nutrition Requirements. All Enterostomies Were Subsequently Closed. Four Patients Died Of Unrelated Causes After Reanastomosis And The Remaining Eight Were Discharged. Conclusions: Mucous Fistula Refeeding Is Safe In Premature Neonates With Enterostomies. It Can Prevent Disuse Atrophy In The Distal Loop And Facilitate Subsequent Reanastomosis. Furthermore, The Increased Absorptive Function Provided By The Small Bowel Incorporated In The Mucous Fistula Can Reduce The Requirement For Total Parenteral Nutrition.en_US
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jpgn.orgen_HK
dc.relation.ispartofJournal of Pediatric Gastroenterology and Nutritionen_HK
dc.rightsJournal of Pediatric Gastroenterology and Nutrition. Copyright © Lippincott Williams & Wilkins.en_HK
dc.titleMucous fistula refeeding in premature neonates with enterostomiesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0277-2116&volume=39&spage=43&epage=45&date=2004&atitle=Mucous+fistula+refeeding+in+premature+neonates+with+enterostomiesen_HK
dc.identifier.emailWong, KKY: kkywong@hkucc.hku.hken_HK
dc.identifier.emailLin, CL: clin@hkucc.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid15187779-
dc.identifier.scopuseid_2-s2.0-16544392400en_US
dc.identifier.hkuros96679en_HK
dc.identifier.volume39en_US
dc.identifier.issue1en_US
dc.identifier.spage43en_US
dc.identifier.epage45en_US
dc.identifier.isiWOS:000222066700009-

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