Ostomy in continuity: A novel approach for the management of children with complex short bowel syndrome

Sehgal, Sona; Sandler, Anthony D.; Chahine, A. Alfred; Mohan, P; Torres, Clarivet

doi:10.1016/j.jpedsurg.2018.02.059

Cited by 17 publications

(21 citation statements)

References 11 publications

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“…According to the literature, anastomotic leakage following BK formation occurs in up to 5% of patients. [17,20,21] In contrast, prior studies demonstrate a variable rate of anastomotic complications following PA if created without protective ostomy ranging from 15% to 30% for MI, [1,2,24,25] from 6% to 10% for CIA, [26–28] and from 5% to 12% for NEC. [5,7,10,29] We hypothesize that the lower rate of anastomotic complications in BK compared to PA is due to presence of a diverting ostomy, which serves as a vent and thereby protects the anastomosis.…”

Section: Discussionmentioning

confidence: 99%

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The outcome of Bishop-Koop procedure compared to divided stoma in neonates with meconium ileus, congenital intestinal atresia and necrotizing enterocolitis

et al. 2019

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To determine the potential value and suitability of Bishop-Koop procedure (BK) compared to divided stoma (DS) in neonates with meconium ileus (MI), congenital intestinal atresia (CIA), and necrotizing enterocolitis (NEC). A retrospective data collection from 2000 to 2019 on neonates undergoing BK and DS formation and closure for MI, CIA, and NEC was conducted. Ostomy related complications following both procedures were analyzed. One hundred two consecutive patients managed with a BK (n = 57, 55.8%) and DS (n = 45, 44.2%) for MI (n = 38, 37.2%), CIA (n = 31, 30.5%), and NEC (n = 33, 32.3%) were analyzed. Mean operating time for ostomy creation did not differ significantly between BK and DS groups (156 ± 54 vs 135 ± 66.8 min, P = .08). The prevalence of stoma-related complications following BK and DS formation was 8.7% and 31.1%, respectively ( P = .005). The complication rate after BK and DS closure was 3.5% and 6.7%, respectively ( P = .65). The operating time for ostomy reversal and length of hospital stay after stoma closure were significantly shorter in BK group (82.2 ± 51.4 vs 183 ± 84.5 min and 5.5 ± 2.7 vs 11.3 ± 3.9 days, P < .001). BK procedure is safe, reliable, and suitable technique in neonatal surgery with low complications rate following ostomy creation as well as shorter operating time and length of hospital stay after ostomy closure compared to DS ostomies. Surgeons should keep this technique as an alternative approach in their repertoire.

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Section: Discussionmentioning

confidence: 99%

“…Though the BK was initially designed for the treatment of infants with MI, it has been gradually applied in neonates with NEC [15,16] and CIA. [17–19] Recently, BK has also been utilized in the management of children with short bowel syndrome [20] and severe jejunoileal atresia. [21]…”

Section: Introductionmentioning

confidence: 99%

The outcome of Bishop-Koop procedure compared to divided stoma in neonates with meconium ileus, congenital intestinal atresia and necrotizing enterocolitis

et al. 2019

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“…It can be used in any situation where function of distal bowel is in doubt and primary anastomosis is likely to fail 5 6. Sehgal et al have used this technique as ‘ostomy in continuity’ for children with refractory short bowel syndrome from multiple causes and described it as a novel approach to establish intestinal autonomy and to minimize TPN-related complications 7. Peng et al have found Bishop Koop technique as very efficient for severe jejunoileal atresia 8…”

Section: Discussionmentioning

confidence: 99%

Bishop Koop conversion of temporary stoma can be an option to establish gut continuity early when primary anastomosis is not safe

Hasan

Rahman

Huq

et al. 2019

World Jnl Ped Surgery

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BackgroundIntestinal perforation and sometimes obstruction in neonates demand diverting stomas which are associated with fluid, electrolytes and nutrient loss. Early establishment of gut continuity is the key to the best outcome, though primary anastomosis is not always safe. The aim of this study was to evaluate the effectiveness of Bishop Koop stoma in establishing early continuity of gut and confirming the function of distal gut.MethodsData of patients who underwent Bishop Koop conversion of diverting stoma from July 2016 to June 2018 were reviewed retrospectively. Demographic and outcome data were recorded and analyzed using Statistical Package for the Social Science (SPSS) V.22 software. Ethical permission was taken from hospital ethical committee.Results29 patients were included (16 male and 13 female). Mean age of conversion was 5.8±2.5 months and mean weight was 4.9±1.6. Normal bowel movement was established in 26 patients. One patient died of sepsis on sixth postoperative day and one had anastomotic leakage. There was no significant difference with respect to outcome between perforation and obstruction group. Bishop Koop stomas were closed after 6 weeks of formation.ConclusionsBishop Koop conversion of temporary stoma was turned out as a good choice for these patients.

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“…Рецидив дилатації кишки може виникнути протягом року після операції, що сповільнює перехід на ентеральне харчування [65]. З метою попередження рецидиву дилатації кишки і виникнення порушень моторики пропонується використовувати накладання стоми за Bishop-Koop або Santulli [84]. Вибір того чи іншого методу накладання стоми залежить від стану дистальної та проксимальної кишки, а також від локалізації та ступеня невідповідності діаметра кишок.…”

Section: спіральне видовження та зшивання кишки (Spiral Intestinal Leunclassified

“…Вибір того чи іншого методу накладання стоми залежить від стану дистальної та проксимальної кишки, а також від локалізації та ступеня невідповідності діаметра кишок. Стома за Bishop-Koop накладається у випадках, коли виконана резекція порожньої або проксимальної частини клубової кишки зі значними втратами рідини, а стома за Santulli -при більш дистальних резекціях з меншими втратами рідини [84].…”

Section: спіральне видовження та зшивання кишки (Spiral Intestinal Leunclassified

Intensive care and the surgical treatment children with the short bowel syndrome (review)

Pereyaslov¹,

Лосев²,

Rybalchenko³

et al. 2019

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Одеський національний медичний університет, Україна 3 Національна медична академія післядипломної освіти імені П.Л. Шупика, м. Київ, Україна Синдром короткої кишки (СКК), який виникає у дітей після резекції значної частини тонкої кишки, є основним чинником розвитку кишкової недостатності та зумовлює широкий спектр проблем у післяопераційному лікуванні цих пацієнтів. Інтенсивна консервативна терапія, яка включає повне парентеральне харчування та медикаментозне лікування, є важливим компонентом післяопераційного лікування дітей із СКК. Ця патологія вимагає мультидисциплінарного підходу, а хірургічні втручання допомогають досягти автономності кишечника. Ключові слова: діти, синдром короткої кишки, інтенсивна терапія, хірургічне лікування. Таблиця 1 Класифікація синдрому короткої кишки у дітей (L. Rossi та співавт., 2007)

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Ostomy in continuity: A novel approach for the management of children with complex short bowel syndrome

Cited by 17 publications

References 11 publications

The outcome of Bishop-Koop procedure compared to divided stoma in neonates with meconium ileus, congenital intestinal atresia and necrotizing enterocolitis

The outcome of Bishop-Koop procedure compared to divided stoma in neonates with meconium ileus, congenital intestinal atresia and necrotizing enterocolitis

Bishop Koop conversion of temporary stoma can be an option to establish gut continuity early when primary anastomosis is not safe

Intensive care and the surgical treatment children with the short bowel syndrome (review)

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