Intraoperative colonic lavage in a premature infant: A case report

Steven J. Ognibene, Leonidas G. Koniaris, Walter Pegoli, George T. Drugas

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Left-sided colonic obstruction in the neonate traditionally is managed with a multistaged defunctioning colostomy and resection. In adults, one-stage primary anastomosis has become increasingly popular with the use of on-table antegrade colonic lavage. In infants, and especially in premature neonates, enterostomies pose significant morbidity. O'Connor and Sawin reported a 68% complication rate in 50 infants with necrotizing enterocolitis who had survived until the time of enterostomal closure. This case discusses a modified application of on-table colonic lavage in the management of an obstructing sigmoid stricture in a premature infant.

Original languageEnglish (US)
Pages (from-to)1645-1647
Number of pages3
JournalJournal of pediatric surgery
Volume37
Issue number11
DOIs
StatePublished - Nov 1 2002

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Keywords

  • Diverticulitis
  • Necrotizing enterocolitis
  • Single-stage

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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