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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

GUELFAND CH, Miguel; SANTOS M, Marcela  y  OLIVOS P, Maricarmen. Primary Anastomosis in Necrotizing Enterocolitis. Rev. chil. pediatr. [online]. 2011, vol.82, n.6, pp.520-524. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062011000600006.

Introduction: Necrotizing Enterocolitis (NE) is the most frequent gastrointestinal emergency among newborns (NB). Thirty percent of them require surgical treatment, with resection of the damaged intestinal segment and stoma formation. In some cases, primary resection and anastomosis can be considered. Objective: To review the use of primary anastomosis on NE in 2 pediatric centers, one public hospital and one private clinic. Patients and Method: A retrospective, descriptive study of all NB with NE managed with primary anastomosis at Hospital Exequiel González Cortés y Clínica Las Condes between december 2004 and december 2009. The population was divided into Group A: Unifocal, and Group B: Multifocal intestinal involvement. The following variables were evaluated and compared: gestational age, weight, use of peritoneal drains, characteristics of the resected segment, number of anastomoses, requirement of parenteral nutrition, postoperatory complications.Results: Sixty NB were surgically repaired with primary anastomosis. 12% presented birth weight <1.000grams, 22% between 1000-1500 grams. In 18 patients 2 anastomoses were performed in different intestinal segments. Postoperatory complications included wound infection in 3 cases and dehiscence of the anastomosis in 1 case. 7% evolved with short loop syndrome. Mortality was 11,6%, secondary to sepsis. Conclusions: In this experience, Primary Anastomosis in NE appears to be a safe option, with low morbimortality despite the age, weight, IP contamination or extension of the disease.

Palabras clave : Necrotizing enterocolitis; primary anastomosis; newborn.

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