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https://doi.org/10.14300/mnnc.2014.09003

The significance of efficiently applied high jejunostoms in children’s care after small intestine resection

[Original research] [Surgery]
Mikhail Chepurnoy; Gennady Chepurnoy; Valery Katsupeev; Anaida Dadayan; Igor Babich;

Aim: to improve the results of surgical treatment of children after extensive resections of the small intestine by applying a T-shaped jejunostomy. During the period from 1982 to 2012, in the clinic of RostSMU 118 children were operated on: with atresia (27) and volvulus (19) of the small intestine, necrotizing enterocolitis (41) and fetal sepsis (31). A comparative analysis of two groups of patients was carried out: group 1 – 87 patients with two ended jejunostomy and group 2 – 31 children with a T-shaped anastomosis. When applying the intestinal anastomosis, we used a method of a single-row, continuous, invaginated suture with a nonabsorbable thread (Prolen 5/0), developed in the clinic. In the group 1 postoperative mortality was 11,5 %, in group 2 – 6,4 %.

Conclusions: after extensive resection of the small intestine in children the continuity of small intestine should be restored with T-shaped jejunostomy even in conditions of peritonitis.

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References:
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Keywords: resection of the small intestine, jejunostomy, children