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Anastomosis intestinales

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By Alejandro Peñarrieta Daher Pediatric Surgeon / Neonatal Surgeon
Lindsay J Talbot, Robert D Sinyard, Kristy L Rialon, Brian R Englum, Elizabeth T Tracy, Henry E Rice, Obinna O Adibe
PURPOSE: Neonates after emergent enterostomy creation frequently require reversal at low weight because of complications including cholestasis, dehydration, dumping, failure to thrive, and failure to achieve enteral independence. We investigated whether stoma reversal at low weight (< 2.5kg) is associated with poor surgical outcomes. METHODS: Patients who underwent enterostomy reversal from 2005 to 2013 at less than 6months old were identified in our institutional database...
January 2017: Journal of Pediatric Surgery
Lori A Gurien, Deidre L Wyrick, Samuel D Smith, R Todd Maxson
BACKGROUND: Although this issue remains unexamined, pediatric surgeons commonly use simple interrupted suture for bowel anastomosis, as it is thought to improve intestinal growth postoperatively compared to continuous running suture. However, effects on intestinal growth are unclear. We compared intestinal growth using different anastomotic techniques during the postoperative period in young rats. METHODS: Young, growing rats underwent small bowel transection and anastomosis using either simple interrupted or continuous running technique...
May 2016: Journal of Pediatric Surgery
Andrew R Ross, Nigel J Hall, S A Ahmed, Edward M Kiely
BACKGROUND/PURPOSE: To report outcomes of a standardised technique for intestinal anastomosis in infants and children. METHODS: Data were prospectively collected on all paediatric intestinal anastomosis by a single surgeon over a 21year period. Anastomoses were constructed using an end-to-end extramucosal technique with interrupted polypropylene sutures. Demographic and clinical data were recorded. RESULTS: Six-hundred and thirteen anastomoses were constructed in 550 patients...
July 2016: Journal of Pediatric Surgery
Brent E Carlyle, Drucy S Borowitz, Philip L Glick
PURPOSE: Meconium ileus (MI) is the earliest clinical manifestation of cystic fibrosis (CF), occurring in up to 20% of patients with CF. Our aim was to review and integrate current knowledge about the diagnosis and management of fetuses and neonates with MI that may aid the pediatric surgeon in caring for these patients. METHODS: We identified areas of interest including pathophysiology, prenatal diagnosis, nonoperative and operative management, postoperative management, and prognosis...
April 2012: Journal of Pediatric Surgery
S Folaranmi, G Rakoczy, J Bruce, G Humphrey, J Bowen, A Morabito, P Kapur, J Morecroft, R Craigie, T Cserni
PURPOSE: Our aim was to investigate the importance of the ileocaecal valve and its reconstruction in patients that are not suffering from short bowel syndrome and Crohn's disease. METHODS: Casenotes of 99 children with hemicolectomy and 24 children with terminal ileal resection were reviewed and sorted into three groups. Group 1: ileocaecal valve resection (limited hemicolectomy), Group 2: hemicolectomy, Group 3: terminal ileal resection between 10 and 25 cm. Patients with Crohn's, short bowel syndrome and incomplete follow-up were excluded...
June 2011: Pediatric Surgery International
Wei-Wei Jiang, Xiao-Qun Xu, Qi-Ming Geng, Jie Zhang, Huan Chen, Xiao-Feng Lv, Chang-Gui Lu, Wei-Bing Tang
AIM: To investigate the feasibility and the effectiveness of ileoileostomy in the region adjacent to the ileocecal valve, which can retain the ileocecal valve in infants. METHODS: This is a retrospective review of 48 patients who underwent ileoileostomy in the region adjacent to the ileocecal valve (group 1) and 34 patients who underwent ileocecal resections and ileotransversanastomosis (group 2). Patients were monitored for the time to flatus, resumption of eating, length of hospital stay after surgery, serum total bile acid, vitamin B12 and postoperative complications...
December 28, 2012: World Journal of Gastroenterology: WJG
Valentina Giaccaglia, Pier Federico Salvi, Maria Serena Antonelli, Giuseppe Nigri, Felice Pirozzi, Biagio Casagranda, Massimo Giacca, Francesco Corcione, Niccolò de Manzini, Genoveffa Balducci, Giovanni Ramacciato
OBJECTIVES: We designed a multicentric, observational study to test if Procalcitonin (PCT) might be an early and reliable marker of anastomotic leak (AL) after colorectal surgery (ClinicalTrials.govIdentifier:NCT01817647). BACKGROUND: Procalcitonin is a biomarker used to monitor bacterial infections and guide antibiotic therapy. Anastomotic leak after colorectal surgery is a severe complication associated with relevant short and long-term sequelae. METHODS: Between January 2013 and September 2014, 504 patients underwent colorectal surgery, for malignant colorectal diseases, in elective setting...
May 2016: Annals of Surgery
F Herrle, M K Diener, S Freudenberg, F Willeke, P Kienle, R Boenninghoff, C Weiss, L I Partecke, J Schuld, S Post
PURPOSE: Apart from stapling methods, single- or double-layer continuous hand sutures are established techniques for colonic anastomoses. It is unclear which hand suture technique has superior anastomotic safety. This randomized trial evaluated the incidence of postoperative complications depending on anastomosis technique. METHODS: This multicentre randomized trial enrolled adult elective patients between February 2004 and June 2012 in four German university hospitals...
February 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Anne G J F van Zoonen, Maarten Schurink, Arend F Bos, Erik Heineman, Jan B F Hulscher
BACKGROUND: An ostomy seems a safe alternative in neonates with an acute abdomen when immediate restoration of bowel continuity is deemed undesirable. Faced with several complications in our center, and the feeling we are not the only center with these complications, we decided to assess the rate and type of complications after both ostomy creation and closure. METHODS: All data regarding neonates (<30 days of age) who underwent a laparotomy for a suspected abdominal emergency in the period 2000 to 2010 were retrospectively analyzed...
August 2012: European Journal of Pediatric Surgery
Pieralba Catalano, Maria Rita Di Pace, Anna Maria Caruso, Enrico De Grazia, Marcello Cimador
BACKGROUND: Ileocecal (IC) duplication cysts are enteric duplications located at the IC junction, not clearly identified in all the published series. The reported treatment is IC resection and ileocolic anastomosis. It is well known that the loss of the IC valve has several adverse effects. This study is aimed at demonstrating that cyst removal together with the common ileal wall and following enterorrhaphy is possible, safe, and effective in preserving the IC region. METHODS: Medical records of 3 patients who underwent surgery for IC duplication between 2003 and 2013 were retrospectively reviewed evaluating follow-up results...
June 2014: Journal of Pediatric Surgery
Go Miyano, Toshihiro Yanai, Tadaharu Okazaki, Hiroyuki Kobayashi, Geoffrey Lane, Atsuyuki Yamataka
PURPOSE: The aim of this study was to describe our improved technique for stoma closure, laparoscopy-assisted stoma closure (LASC). PATIENTS AND METHODS: Eleven (11) children had LASC at our institute during 2005. Their ages at LASC ranged from 4 to 23 months and their body weight ranged from 3.4 to 10.0 kg. Under general anesthesia, a 5-mm trocar was inserted through an infraumbilical, left-lower, or upper quadrant incision, and laparoscopy was used to observe the bowels, the stoma, the line of separation, and any adhesions...
June 2007: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Partap S Yadav, S Roy Choudhury, Jitendra Kumar Grover, Amit Gupta, Rajiv Chadha, David L Sigalet
BACKGROUND: Establishment of enteral nutrition is necessary after intestinal surgery. In resource-strained environments, it can be critical. This study examined the effect of early feeding in pediatric patients undergoing stoma closure in a country with mid-level socioeconomic indices. METHODS: With parenteral consent and ethics board approval, patients were prospectively enrolled in early feeding (Group 1), starting feeds 24h post-operation with a protocol driven increase...
May 2013: Journal of Pediatric Surgery
Rodrigo L P Romão, Doruk Ozgediz, Nicole de Silva, Priscilla Chiu, Jacob Langer, Paul W Wales
BACKGROUND/PURPOSE: In neonatal surgery, preserving small bowel length is important to avoid short bowel syndrome. Our aim was to assess the outcomes of intraluminal stenting of neonatal multiple intestinal anastomoses. METHODS: We conducted a retrospective review of 9 patients (5, single institution; 4, published literature) who received multiple anastomoses stented by a silicon tube. Demographics, surgical anatomy and complications, nutritional outcomes, and follow-up were reviewed...
July 2011: Journal of Pediatric Surgery
R M Ordorica-Flores, E Bracho-Blanchet, J Nieto-Zermeño, R Reyes-Retana, J M Tovilla-Mercado, V Leon-Villanueva, G Varela-Fascinetto
PURPOSE: The aim of this study was to compare the incidence of surgical complications between two different surgical techniques for intestinal anastomosis in children. METHODS: This was a clinically controlled, randomized study with blind follow-up from 18 to 36 months performed at the Reference Government Hospital in Mexico City. Eighty-six children required intestinal anastomosis, ages ranged between 1 month and 16 years, with emergency or elective surgery. Anastomoses of duodenum, rectum, with enteroplasty or protected with a proximal stoma were excluded...
December 1998: Journal of Pediatric Surgery
Michael Singh, Anthony Owen, Sobbia Gull, Antonino Morabito, Adrian Bianchi
BACKGROUND: Traditionally, a stoma is established after resection of perforated or necrotic intestine for isolated intestinal perforation (IIP) and necrotizing enterocolitis (NEC). We compared the outcome of resection and anastomosis (RA) with stoma formation (RS). METHODS: Sixty-eight neonates undergoing laparotomy for IIP (n = 20), NEC (n = 43), and indeterminate cause (n = 5) were reviewed retrospectively. Intestinal resection was followed by either anastomosis or stoma...
April 2006: Journal of Pediatric Surgery
Ian Yardley, Basem Khalil, Joanne Minford, Antonino Morabito
Multiple jejunoileal atresia is a challenge to the pediatric surgeon. The aim of the study is to preserve bowel length and prevent the long-term complications of short bowel syndrome. The authors present a rare case of combined multiple jejunoileal atresia and colonic atresia managed by 9 primary anastomoses over a gastroperineal transanastomotic tube. This technique avoided the use of stomas and their attendant complications.
November 2008: Journal of Pediatric Surgery
Bryan C Morse, Joshua P Simpson, Yonge R Jones, Brent L Johnson, Brianna M Knott, Jennifer A Kotrady
BACKGROUND: The objective of this study was to identify risk factors associated with intestinal anastomotic leakage in order to practically assist in surgical decision making. METHODS: A retrospective review of an academic surgery database was performed over 5 years to identify patients who had intestinal (small bowel and colon) anastomoses to determine independent predictors of anastomotic leakage. RESULTS: Over the study period, 682 patients were identified with intestinal anastomoses; the overall leak rate was 5...
December 2013: American Journal of Surgery
Hiromu Miyake, Naoto Urushihara, Koji Fukumoto, Akihide Sugiyama, Hiroaki Fukuzawa, Kentaro Watanabe, Maki Mitsunaga, Junichi Kusafuka, Shiro Hasegawa
PURPOSE: Newborn surgery for meconium peritonitis (MP) is sometimes very difficult owing to severe adhesions and bleeding. The aim of this study was to reveal the benefit of primary anastomosis (PA) for MP by comparing PA with multistep operations (MO). PATIENTS AND METHODS: We retrospectively reviewed 38 patients with MP who underwent surgery in our institution from 1983 to 2009. From 1983 to 2000, we essentially used MO. After 2001, we used PA with the exception of 1 patient...
December 2011: Journal of Pediatric Surgery
Jhalini Jawaheer, Basem Khalil, Tyasha Plummer, Adrian Bianchi, James Morecroft, George Rakoczy, James Bruce, John Bowen, Antonino Morabito
Various options are available for the surgical treatment of meconium ileus (MI). This paper examines the use of resection and primary anastomosis as the favoured option for the treatment of complicated meconium ileus. This was a retrospective study. All patients (13 children) with MI treated with primary resection and anastomosis (RA) in the 10-year period (1996-2005) at St Mary's Hospital in Manchester were identified. The case notes were retrieved. The gestational age, type of surgery, length of bowel resection and complications were recorded...
November 2007: Pediatric Surgery International
N J Hall, J Curry, D P Drake, L Spitz, E M Kiely, A Pierro
HYPOTHESIS: Primary anastomosis following intestinal resection is a valid surgical option in the treatment of infants with necrotizing enterocolitis (NEC) who weigh less than 1000 g. DESIGN: Retrospective case series. SETTING: Tertiary neonatal surgery referral center. PATIENTS: All infants with confirmed NEC weighing less than 1000 g admitted to our intensive care unit over 4 years. INTERVENTION: For infants requiring laparotomy and intestinal resection, primary anastomosis was performed whenever the clinical condition permitted...
December 2005: Archives of Surgery
2014-10-16 01:28:36
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