Original Article
Application of autologous succus entericus reinfusion after enterostomy in neonate
Yajuan Xu, Ping Yan, Yanbo Wang, Wen Sun, Weibing Tang, Weiwei Jiang
Published 2019-04-30
Cite as Chin J Clin Nutr, 2019, 27(2): 123-128. DOI: 10.3760/cma.j.issn.1674-635X.2019.02.011
Abstract
ObjectiveTo evaluate the application way and value of autologous succus entericus reinfusion in neonatal enterostomy.
MethodsClinical data from 109 neonatal patients receiving enterostomy in Children's Hospital of Nanjing Medical University from January 2010 to December 2017 were retrospectively analyzed. The neonatal patients were divided into two groups according to whether succus entericus reinfusion conducted as succus entericus reinfusion group (63 neonatal patients) and control group (46 neonatal patients). The 90-day weight gain of the neonatal patients, age of the second stage enterostomy closure, cessation of intravenous infusion time after operation and the rate of re-admission before the second stage enterostomy closure were collected.
ResultsThe distance between enterostomy mouth and the Treitz ligament was 80-120 cm in all the children patients, and there was no significant difference between the two groups (P=0.42). The succus entericus reinfusion group was superior to the control group in the weight gain of 90 days after birth (single lumen group vs. single lumen control group: [1.97±0.55] vs. [1.50±0.57]kg, P=0.017; double lumens group vs. double lumens control group: [1.82±0.49]vs. [1.48±0.65] kg, P=0.013), age of the second stage enterostomy closure (single lumen group vs. single lumen control group: [115.76±15.85] vs. [117.40±11.06] d, P=0.025; double lumens group vs. double lumens control group: [115.48±14.33] vs. [126.03±8.85] d, P=0.001), cessation of intravenous infusion time after operation (single lumen group vs. single lumen control group: [ 14.24±3.30] vs. [16.40±2.74] d, P=0.046; double lumens group vs. double lumens control group: [15.07±3.65] vs. [18.71±3.63] d, P<0.01), and the rate of re-admission before the second stage enterostomy closure (single lumen group vs. single lumen control group: 9.5%[2/21]vs. 20%[3/15], P=0.337; double lumens group vs. double lumens control group: 7.1%[3/42]vs. 25.8%[8/31], P=0.028).
ConclusionAutologous succus entericus reinfusion can improve the absorption of nutrients after the operation of small intestinal stoma, improve the function of the distal enteral tube, and create conditions for the early recovery of intestinal continuity.
Key words:
Neonate; Small intestine stoma; Succus entericus reinfusion
Contributor Information
Yajuan Xu
Department of Neonatal Surgery, Children's Hospital of Nanjing Medical University, Nanjing 210008, China
Ping Yan
Yanbo Wang
Wen Sun
Weibing Tang
Weiwei Jiang
