The Optimal Timing of Enterostomy Closure in Extremely Low Birth Weight Patients for Acute Abdomen

Abstract There are few reports on enterostomy closure (EC) timing for acute abdomen in extremely low birth weight (ELBW) patients. We retrospectively reviewed ELBW patients who underwent enterostomy formation (EF) and subsequent EC. We investigated baseline characteristics, surgical outcomes, and fo...

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Autores principales:	Hee-Beom Yang, Ji-Won Han, Joong Kee Youn, Chaeyoun Oh, Hyun-Young Kim, Sung Eun Jung
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2018
Materias:	Extremely Low Birth Weight (ELBW) Enterotomy Closure (EC) Acute Abdomen Enterostomy Formation (EF) Full Feeding Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b033c6eaacf643738cfa371d8e2ec038
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spelling	oai:doaj.org-article:b033c6eaacf643738cfa371d8e2ec0382021-12-02T15:08:39ZThe Optimal Timing of Enterostomy Closure in Extremely Low Birth Weight Patients for Acute Abdomen10.1038/s41598-018-33351-92045-2322https://doaj.org/article/b033c6eaacf643738cfa371d8e2ec0382018-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-33351-9https://doaj.org/toc/2045-2322Abstract There are few reports on enterostomy closure (EC) timing for acute abdomen in extremely low birth weight (ELBW) patients. We retrospectively reviewed ELBW patients who underwent enterostomy formation (EF) and subsequent EC. We investigated baseline characteristics, surgical outcomes, and follow-up data of 55 patients and analyzed optimal timing by age at EC, enterostomy duration, and body weight (Bwt) at EC. The minimum p-value approach (MPA) using the Chi-squared test was used to determine each cut-off value. Mean gestational age was 25+3 weeks, while mean age and Bwt at EF were 10 days and 660 g. Enterostomy duration and Bwt at EC were 102 days and 2400 g. Fourteen surgical complications were related to EC. The MPA identified a cut-off of 2100 g (p = 0.039) at EC but no significant cut-off age or enterostomy duration. The 18 patients <2100 g had more enterostomy-related problems at EC than the >2100 g group (66.7% vs 10.8%, p < 0.001). No other characteristics were significantly different. Operation time, ventilator period, hospital stay, parenteral nutrition duration, and full feeding day were significantly longer in <2100 g patients. Follow-up Bwt did not differ (11.55 kg vs 13.95 kg, p = 0.324). Our findings suggest EC can be safely performed when Bwt is over 2100 g.Hee-Beom YangJi-Won HanJoong Kee YounChaeyoun OhHyun-Young KimSung Eun JungNature PortfolioarticleExtremely Low Birth Weight (ELBW)Enterotomy Closure (EC)Acute AbdomenEnterostomy Formation (EF)Full FeedingMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-10 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Extremely Low Birth Weight (ELBW) Enterotomy Closure (EC) Acute Abdomen Enterostomy Formation (EF) Full Feeding Medicine R Science Q
spellingShingle	Extremely Low Birth Weight (ELBW) Enterotomy Closure (EC) Acute Abdomen Enterostomy Formation (EF) Full Feeding Medicine R Science Q Hee-Beom Yang Ji-Won Han Joong Kee Youn Chaeyoun Oh Hyun-Young Kim Sung Eun Jung The Optimal Timing of Enterostomy Closure in Extremely Low Birth Weight Patients for Acute Abdomen
description	Abstract There are few reports on enterostomy closure (EC) timing for acute abdomen in extremely low birth weight (ELBW) patients. We retrospectively reviewed ELBW patients who underwent enterostomy formation (EF) and subsequent EC. We investigated baseline characteristics, surgical outcomes, and follow-up data of 55 patients and analyzed optimal timing by age at EC, enterostomy duration, and body weight (Bwt) at EC. The minimum p-value approach (MPA) using the Chi-squared test was used to determine each cut-off value. Mean gestational age was 25+3 weeks, while mean age and Bwt at EF were 10 days and 660 g. Enterostomy duration and Bwt at EC were 102 days and 2400 g. Fourteen surgical complications were related to EC. The MPA identified a cut-off of 2100 g (p = 0.039) at EC but no significant cut-off age or enterostomy duration. The 18 patients <2100 g had more enterostomy-related problems at EC than the >2100 g group (66.7% vs 10.8%, p < 0.001). No other characteristics were significantly different. Operation time, ventilator period, hospital stay, parenteral nutrition duration, and full feeding day were significantly longer in <2100 g patients. Follow-up Bwt did not differ (11.55 kg vs 13.95 kg, p = 0.324). Our findings suggest EC can be safely performed when Bwt is over 2100 g.
format	article
author	Hee-Beom Yang Ji-Won Han Joong Kee Youn Chaeyoun Oh Hyun-Young Kim Sung Eun Jung
author_facet	Hee-Beom Yang Ji-Won Han Joong Kee Youn Chaeyoun Oh Hyun-Young Kim Sung Eun Jung
author_sort	Hee-Beom Yang
title	The Optimal Timing of Enterostomy Closure in Extremely Low Birth Weight Patients for Acute Abdomen
title_short	The Optimal Timing of Enterostomy Closure in Extremely Low Birth Weight Patients for Acute Abdomen
title_full	The Optimal Timing of Enterostomy Closure in Extremely Low Birth Weight Patients for Acute Abdomen
title_fullStr	The Optimal Timing of Enterostomy Closure in Extremely Low Birth Weight Patients for Acute Abdomen
title_full_unstemmed	The Optimal Timing of Enterostomy Closure in Extremely Low Birth Weight Patients for Acute Abdomen
title_sort	optimal timing of enterostomy closure in extremely low birth weight patients for acute abdomen
publisher	Nature Portfolio
publishDate	2018
url	https://doaj.org/article/b033c6eaacf643738cfa371d8e2ec038
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The Optimal Timing of Enterostomy Closure in Extremely Low Birth Weight Patients for Acute Abdomen

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