A number of severe gastrointestinal disorders in infancy and childhood may require the formation of an enterostomy as a crucial part of the treatment of the disease itself. This study reviews our pediatric patients regarding the morbidity and mortality of enterostomy formation and closure over a 11.5-year period from 1986-1998. It is reported about 68 enterostomies in infants and children and 60 consecutive enterostomy closures in retrospect. This includes colostomies, jejunostomies, ileostomies and Mikulicz procedures. In most instances a transverse colostomy has been performed. The most frequent indications were intestinal obstruction and Necrotizing Enterocolitis (NEC). More than half of the children were less than one month of age at the time of surgery. I observed an overall complication rate of 48.5% following enterostomy formation with stoma prolapse being the most common, but faced major complications such as sepsis, peritonitis and enterocutaneous fistula in only 10.3%. Complications after enterostomy closure were encountered in 21.7%. The mortality of enterostomy formation was 5.9% and that of enterostomy closure 1.7%, but none of the deaths was directly related to surgery itself. Enterostomy formation and closure in the pediatric age group with severe underlying disease is still associated with substantial morbidity.
info:eu-repo/classification/ddc/610, Medizin, Enterostoma, Kolostoma, Ileostoma
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