지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.93 No.3
- 발행연도
- 2017.9
- 수록면
- 137 - 142 (6page)
이용수
초록· 키워드
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Purpose: I introduce the use of transanal intestinal long tube (TILT) using nasogastric tube. TILT passes from anus to the anastomosis, helping to decompress a dilated bowel loop.
Methods: TILT procedure was limited to those patients predicting a severe luminal size discrepancy after intestinal anastomosis, and who had postoperative prolonged ileus. We retrospectively reviewed the medical records of 10 infants (7 male an 3 female patients) who were treated using the TILT procedure between 2012 and 2016.
Results: Median gestational age was 27<SUP>+5</SUP> weeks and birth weight was 940 g. The first operation was done at a median of 4.5 days after birth due to necrotizing enterocolitis perforation (4 cases), isolated intestinal perforation (3 cases), meconium related ileus (1 case), congenital ileal volvulus (1 case), and ileal atresia (1 case). Nine cases of ileostomy closure were planned at a median of 130.5 days with a body weight of 3,060 g. For the ileal atresia case, TILT procedure without additional small bowel resection was performed to treat postoperative prolonged ileus. Nine out of ten were well functioned and defecation via anus was observed in a median of 4.5 days. Milk feeding began at a median of 6 days and the long intestinal tube was removed in a median of 14.5 days.
Conclusion: I suggested that TILT procedure could be a noninvasive operative option, predicting of size mismatched anastomosis causing prolonged ileus. Passive drainage of proximal intestinal contents might be helpful for decompress endoluminal pressure during the time of anastomosis healing with bowel movement recovery.
Methods: TILT procedure was limited to those patients predicting a severe luminal size discrepancy after intestinal anastomosis, and who had postoperative prolonged ileus. We retrospectively reviewed the medical records of 10 infants (7 male an 3 female patients) who were treated using the TILT procedure between 2012 and 2016.
Results: Median gestational age was 27<SUP>+5</SUP> weeks and birth weight was 940 g. The first operation was done at a median of 4.5 days after birth due to necrotizing enterocolitis perforation (4 cases), isolated intestinal perforation (3 cases), meconium related ileus (1 case), congenital ileal volvulus (1 case), and ileal atresia (1 case). Nine cases of ileostomy closure were planned at a median of 130.5 days with a body weight of 3,060 g. For the ileal atresia case, TILT procedure without additional small bowel resection was performed to treat postoperative prolonged ileus. Nine out of ten were well functioned and defecation via anus was observed in a median of 4.5 days. Milk feeding began at a median of 6 days and the long intestinal tube was removed in a median of 14.5 days.
Conclusion: I suggested that TILT procedure could be a noninvasive operative option, predicting of size mismatched anastomosis causing prolonged ileus. Passive drainage of proximal intestinal contents might be helpful for decompress endoluminal pressure during the time of anastomosis healing with bowel movement recovery.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (22)
참고문헌 신청
[학술지(정기간행물)] - Feichter S / 2009 / The histopathology of gastrointestinal motility disorders in children / Semin Pediatr Surg 18 : 206 ~ 211
[학술지(정기간행물)] - Burns AJ / 2009 / Development of the enteric nervous system and its role in intestinal motility during fetal and early postnatal stages / Semin Pediatr Surg 18 : 196 ~ 205
[학술지(정기간행물)] - Golub R / 1997 / A multivariate analysis of factors contributing to leakage of intestinal anastomoses / J Am Coll Surg 184 : 364 ~ 372
[학술지(정기간행물)] - Zhao WT / 2013 / Use of a transanal drainage tube for prevention of anastomotic leakage and bleeding after anterior resection for rectal cancer / World J Surg 37 : 227 ~ 232
[학술지(정기간행물)] - McArdle CS / 1991 / Impact of variability among surgeons on postoperative morbidity and mortality and ultimate survival / BMJ 302 : 1501 ~ 1505
[학술지(정기간행물)] - Burns AJ / 2009 / Development of the enteric nervous system and its role in intestinal motility during fetal and early postnatal stages / Semin Pediatr Surg 18 : 196 ~ 205
[학술지(정기간행물)] - Golub R / 1997 / A multivariate analysis of factors contributing to leakage of intestinal anastomoses / J Am Coll Surg 184 : 364 ~ 372
[학술지(정기간행물)] - Zhao WT / 2013 / Use of a transanal drainage tube for prevention of anastomotic leakage and bleeding after anterior resection for rectal cancer / World J Surg 37 : 227 ~ 232
[학술지(정기간행물)] - McArdle CS / 1991 / Impact of variability among surgeons on postoperative morbidity and mortality and ultimate survival / BMJ 302 : 1501 ~ 1505
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UCI(KEPA) : I410-ECN-0101-2018-514-001254677