Peritoneal drainage as definitive treatment for neonates with isolated intestinal perforation

Background/Purpose: To better define the indications for peritoneal drainage (PD) in premature babies with intestinal perforation, the authors reviewed their experience with this procedure in a tertiary neonatal intensive care setting. Methods: The charts of all neonates who underwent PD as initial...

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Bibliographic Details
Published in:Journal of pediatric surgery 2000-11, Vol.35 (11), p.1531-1536
Main Authors: Cass, Darrell L., Brandt, Mary L., Patel, Dimple L., Nuchtern, Jed G., Minifee, Paul K., Wesson, David E.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Drainage - methods
Enterocolitis, Necrotizing - complications
Enterocolitis, Necrotizing - mortality
Enterocolitis, Necrotizing - therapy
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Infant, Newborn
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal
Intestinal Perforation - etiology
Intestinal Perforation - mortality
Intestinal Perforation - therapy
isolated intestinal perforation
Male
Medical sciences
necrotizing enterocolitis
neonates
Other diseases. Semiology
Peritoneal drainage
Peritoneum - physiopathology
Probability
Retrospective Studies
Risk Assessment
Sensitivity and Specificity
Stomach, duodenum, intestine, rectum, anus
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Survival Rate
Treatment Outcome
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Summary:Background/Purpose: To better define the indications for peritoneal drainage (PD) in premature babies with intestinal perforation, the authors reviewed their experience with this procedure in a tertiary neonatal intensive care setting. Methods: The charts of all neonates who underwent PD as initial treatment for intestinal perforation between 1996 and 1999 were reviewed. Those patients with pneumatosis intestinalis on abdominal radiograph had perforated necrotizing enterocolitis (NEC) diagnosed; whereas, those infants with no pneumatosis had isolated intestinal perforation diagnosed. The clinical characteristics and outcomes of these 2 groups were compared. Results: Twenty-one premature neonates had primary PD between 1996 and 1999, 10 for isolated intestinal perforation and 11 for perforated NEC. Patients with isolated intestinal perforation had lower birth weights (708 v 949 g; P
ISSN:0022-3468
1531-5037
DOI:10.1053/jpsu.2000.18299