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    Managing newborn ileostomies

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    Authors
    Crealey, M
    Walsh, M
    Awadalla, S
    Murphy, JFA
    Issue Date
    2014-05
    Keywords
    NEONATE
    SURGERY
    
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    Citation
    Crealey M et al. Managing newborn ileostomies. Ir Med J 2014 May 107 (5)
    Publisher
    Irish Medical Journal
    Journal
    Irish Medical Journal
    URI
    http://hdl.handle.net/10147/316721
    Abstract
    The early post-ileostomy medical management of neonates is not clearly defined. A retrospective chart review of all infants who received an ileostomy March 2010- December 2011, identified the post-operative ileostomy progress of each infant. There were 16 cases of neonatal ileostomy during the study period. Over the first 14 postoperative days there was no weight gain. By 21 days the infants were gaining a median 140 g/week. The median stoma output was 5 mls/kg/dy during the first 7 days increasing to 17.5-20 mls/kg/dy. Weight gain or weight loss was closely related to the consistency and volume of the stoma output. Ten infants had a high stoma output >20mls/kg/dy (3 preterm, 7 term). This high stoma output was associated with sub-optimal weight gain. This study provides a template for the expectant management of newborn infants after an ileostomy. The critical issues are weight gain, stoma output and local and systemic complications.
    Item Type
    Article
    Language
    en
    Collections
    Temple Street Hospital

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