The Applications and Clinical Outcomes of T-Type Enterostomy in Infantile Gastrointestinal Diseases

Pan X, Jun J, Zhu H, He W and Shen C*

Department of Pediatric Surgery, The Children’s hospital of Fudan University, Shanghai, China

^*Correspondance to: Chun Shen 

 PDF  Full Text DOI: 10.25107/2474-1647.3419

Abstract

gastrointestinal diseases. Methods: Collecting the patient characteristics and clinical data that had received the T-type enterostomy from January 2016 to January 2021. Analyzing the patient clinical characteristics based on the different groups of operative indications. Retrospectively study the application and efficacy of infantile gastrointestinal diseases treated by T-type enterostomy. Results: Nineteen cases received the T-type enterostomy totally. According to the different reasons for surgery, the patients were divided into congenital malformation group (N1=5), intestinal dysfunction related to premature infants group (N2=5), and distal intestinal dysfunction after primary gastrointestinal operations group (N3=9). Seven cases received the Bishop-Koop ostomy, 12 cases received the Santulli ostomy. All patients were alive after T-type enterostomy treatment. The results of barium enema in 8 cases showed the narrow colorectum before the T-type enterostomy, the mean diameter of the colon raised to 2.26 ± 0.49 cm from the preoperative 1.06 ± 0.40 cm (p<0.001). Twelve cases appeared with barium residue before the enterostomy, the residual rate dropped to 21.43% after the surgery from the original 85.71%. The albumin level raised to 39.81 ± 5.83 ng/ml after the enterostomy from preoperative 33.16 ± 5.14 ng/ml (p<0.001) and the rate of electrolyte disturbance dropped to 0 from preoperative 36.84%. Z scores after the T-type enterostomy rose to - 1.49 ± 1.47 from preoperative 2.97 ± 2.38 (p=0.027). Conclusion: T-type enterostomy is an effective measure to treat infantile gastrointestinal diseases with high survival rates and fewer postoperative complications; it can improve intestinal function and nutrient status.

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Cite the article

Pan X, Jun J, Zhu H, He W, Shen C. The Applications and Clinical Outcomes of T-Type Enterostomy in Infantile Gastrointestinal Diseases. Clin Surg. 2022; 7: 3419.