Stomal prolapse in children with chronic intestinal pseudoobstruction: a frequent complication?

Abstract:

AIM:The aim of the study was to evaluate the morbidity rate of stoma in children diagnosed with chronic intestinal pseudoobstruction (CIPO) and try to determine risk factors. MATERIAL AND METHODS:Twenty-two children (65%) of 34 referred to our center between 1988 and 2008 had a stoma. They were compared with 22 other children referred for another pathology necessitating a stoma. RESULTS:The incidence of stomal prolapse in CIPO children was 45% vs 9% in non-CIPO children (P = .01). Prolapse occurred between the first postoperative day and the 10th postoperative month, with a median of 2 months. Surgical management was required in 60%, with an intestinal necrosis rate of 20% leading to intestinal resection. No mortality was noted. No risk factors favoring prolapse in CIPO children were identified. CONCLUSION:Children with CIPO have a high rate of stomal prolapse with an increased risk of intestinal necrosis. Careful management of the stoma is necessary to avoid the risk of intestinal resection, which may aggravate the underlying intestinal disorder.

journal_name

J Pediatr Surg

authors

Irtan S,Bellaïche M,Brasher C,El Ghoneimi A,Cézard JP,Bonnard A

doi

10.1016/j.jpedsurg.2010.06.022

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

2234-7

issue

11

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(10)00492-6

journal_volume

45

pub_type

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