Author(s)

Ji-xue Zhao, Xue-song Zhao, Chun-yu Dong

Corresponding Author

Chun-yu Dong

ABSTRACT

To explore the effects of distal fistula flushing on the treatment for the neonates with necrotizing enterocolitis. Methods: A retrospective analysis was conduct on 32 cases of newborns with necrotizing enterocolitis which need the ileostomy. All the patients were treated by single ileostomy or by ileostomy and distal fistula flushing between January, 2013 to January 2018. Duration of operation, amount of bleeding, the average length of stay and colonic stricture rate after operation were compared between the two groups, which were divided by treatment methods. Results: No significant difference was observed in age, and gender, duration of operation and amount of bleeding (P>0.05) between the two groups. However, the average length of stay was significantly shorter, the colonic stricture rate was significantly lower in the patients which were treated by ileostomy and distal fistula flushing (P<0.05). Conclusion: A retrospective analysis conducted by us showed the distal fistula flushing can significantly shorten the length of stay and reduce the colonic stricture rate for the patients with necrotizing enterocolitis which need the ileostomy.

KEYWORDS

Distal fistula flushing, Neonates, Necrotizing enterocolitis, Ileostomy