Usefulness of peritoneal drainage in extremely low birth weight infants with intestinal perforation: a single-center experience
Annals of Surgical Treatment and Research
;
: 153-157, 2020.
Artículo
en Inglés
| WPRIM
| ID: wpr-811105
ABSTRACT
PURPOSE:
Necrotizing enterocolitis and intestinal perforation are the most common surgical emergency in the neonatal intensive care unit. The purpose of this study is to evaluate if peritoneal drainage (PD) is beneficial in extremely low birth weight infants with intestinal perforation.METHODS:
Retrospective cohort study of extremely low birth weight infants with a diagnosis of intestinal perforation. They were received primary PD (n = 23, PD group) or laparotomy (n = 13, LAP group). Laboratory and physiologic data were collected and organ failure scores calculated and compared between preprocedure and postprocedures. Data were analyzed using appropriated statistical tests.RESULTS:
Between January 2005 and December 2015, 13 infants (malefemale = 94) received laparotomy. Of 23 infants (malefemale = 167) received PD, 20 infants received subsequent laparotomy. There were no demographic differences between PD and LAP groups. And there were no differences in total organ score in either group (PD, P = 0.486; LAP, P = 0.115). However, in LAP group, respiratory score was statistically improved between pre- and postprocedure organ failure score (P = 0.02). In physiologic parameter, PD group had a statistically worsening inotropics requirement (P = 0.025). On the other hand, LAP group had a improvement of PaO₂/FiO₂ ratio (P = 0.01).CONCLUSION:
PD does not improve clinical status in extremely low birth weight infants with intestinal perforation.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Recién Nacido de Bajo Peso
/
Cuidado Intensivo Neonatal
/
Drenaje
/
Estudios Retrospectivos
/
Estudios de Cohortes
/
Enterocolitis Necrotizante
/
Diagnóstico
/
Urgencias Médicas
/
Recien Nacido con Peso al Nacer Extremadamente Bajo
/
Puntuaciones en la Disfunción de Órganos
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Factores de riesgo
Límite:
Humanos
/
Lactante
/
Recién Nacido
Idioma:
Inglés
Revista:
Annals of Surgical Treatment and Research
Año:
2020
Tipo del documento:
Artículo
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