Pediatric Surgery International

, Volume 23, Issue 7, pp 685–688 | Cite as

T-tube ileostomy for intestinal perforation in extremely low birth weight neonates

  • M. Rygl
  • K. Pycha
  • Z. Stranak
  • R. Skaba
  • R. Brabec
  • V. Cunat
  • J. Snajdauf
Technical Innovation

Abstract

To evaluate the results of use of T-tube ileostomy in selected cases of intestinal perforation in extremely low birth weight (ELBW) neonates. The records of 288 ELBW neonates treated at author’s institution, from 1998 to 2003 were retrospectively reviewed to identify neonates operated for intestinal perforation with T-tube placement. T-tube was inserted into the bowel through the site of perforation or proximally to the perforated gut via separate stab incision. T-tubes were used in five ELBW neonates (BW 600–900 g, gestational age 25–27 weeks) with intestinal perforation, in four of them at the time of primary surgery and in one neonate 8 days after primary anastomosis. All patients survived and there were no serious complications related to the T-tube insertion. Median duration of T-tube placement was 4 weeks (range 3–8 weeks), full enteral feeding after T-tube insertion was achieved in 4 weeks (range 1–6 weeks). All sites of T-tube insertion closed spontaneously. T-tube ileostomy is an effective and safe technique for treatment of selected cases of intestinal perforation in ELBW neonates. With respect to the hypoperistalsis of immature bowel, we recommend the use of T-tube in all cases of isolated intestinal perforation in ELWB neonates.

Keywords

Extremely low birth weight neonates Intestinal perforation Enterostomy closure T-tube ileostomy Necrotising enterocolitis 

Notes

Acknowledgments

Supported by Research Project FNM MZO 00064203/6309.

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • M. Rygl
    • 1
  • K. Pycha
    • 1
  • Z. Stranak
    • 2
  • R. Skaba
    • 1
  • R. Brabec
    • 3
  • V. Cunat
    • 2
  • J. Snajdauf
    • 1
  1. 1.Department of Pediatric Surgery, 2nd Faculty of Medicine and Teaching Hospital in Motol, Institute of Postgraduate MedicineCharles UniversityPrague 5Czech Republic
  2. 2.Institute for the Care of Mother and ChildPrague 4Czech Republic
  3. 3.Department of Obstetric and Adult and Paediatric Gynecology, 2nd Faculty of Medicine and Teaching Hospital in MotolCharles UniversityPrague 5Czech Republic

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