Outcome of stoma closure in babies with necrotising enterocolitis: early vs late closure.

Debasish Bijoykrishna Banerjee, Hasanthi Vithana, Shilpa Sharma, Thomas Tat Ming Tsang

Abstract read

In one paragraph

Article in Pediatric surgery international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

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10citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

The impact of early stoma closure on infants after surgery for necrotizing enterocolitis (NEC): real-world data analysis.Updates in surgery · 2026
Article
A retrospective cohort study of the application of Santulli enterostomy in neonatal necrotizing enterocolitis.Scientific reports · 2025
Article
Risk factors for complications after infantile enterostomy: development of a clinical prediction model.Frontiers in public health · 2025
Article
Predictors of Morbidity Following Enterostomy Closure in Infants: An American College of Surgeons Pediatric National Surgical Quality Improvement Program Database Analysis.Hawai'i journal of health & social welfare · 2021
Article
Neonates living with enterostomy following necrotising enterocolitis are at high risk of becoming severely underweight.European journal of pediatrics · 2019
Article
The outcome of Bishop-Koop procedure compared to divided stoma in neonates with meconium ileus, congenital intestinal atresia and necrotizing enterocolitis.Medicine · 2019
Observational
Enterostomy complications in necrotizing enterocolitis (NEC) surgery, a retrospective chart review at Odense University Hospital.BMC pediatrics · 2019
Article
STROBE-anastomotic leakage after pull-through procedure for Hirschsprung disease.Medicine · 2018
Observational
The Optimal Timing of Enterostomy Closure in Extremely Low Birth Weight Patients for Acute Abdomen.Scientific reports · 2018
Article
The Outcome of Late versus Early Ileostomy Closure at Low Body Weight (<1500 g) in Babies with Necrotizing Enterocolitis.Journal of Indian Association of Pediatric Surgeons
Article

4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Debasish Bijoykrishna BanerjeeGreat Ormond Street Hospital for Children NHS Trust, Greater London, London, UK.

Hasanthi VithanaGreat Ormond Street Hospital for Children NHS Trust, Greater London, London, UK.

Shilpa SharmaGreat Ormond Street Hospital for Children NHS Trust, Greater London, London, UK.

Thomas Tat Ming TsangNorfolk and Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich, UK. debasishbanerjee24@yahoo.co.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Newborns undergoing surgery for necrotizing enterocolitis (NEC) often require a stoma. Currently, there is no consensus regarding the best time for stoma closure (SC). Our aim was to determine the outcomes of early versus late closure.

methodsRetrospective analysis of patients who underwent SC following stoma formation for NEC between Jan 2009 and July 2015 was done. Early (EC) versus late closure (LC) was defined as less than 10 weeks versus at or after 10 weeks of stoma formation.

resultsOf 36 patients, M:F was 23:13. Indications for laparotomy were pneumoperitoneum (30) and gangrene (6). Postoperatively, 9/15 (60.0%) of EC group required ventilator support versus none in LC group (p < 0.05). It took longer to establish full feeds following EC (12 days) versus LC (8 days). Median duration of postoperative hospital stay following EC was 31 days (18-35) versus 7 days (4-54) following LC. Three patients were re-operated for intestinal obstruction (two following EC, one following LC). Three patients developed incisional hernia after EC versus none after LC (p < 0.05). One patient died after EC due to staphylococcus septicaemia.

conclusionEarly closure before 10 weeks of formation for NEC patients is associated with significant morbidity, increased ventilator requirements and chances of developing incisional hernia.

Indexed as

Postoperative ComplicationsSurgical StomasEnterocolitis, NecrotizingFemaleHumansIncisional HerniaInfant, NewbornLength of StayMaleReoperationRespiration, ArtificialRetrospective StudiesSepsisTime FactorsEarly stoma closureLate stoma closureNecrotizing enterocolitisStoma closureStoma reversal

Identifiers

PMID28434039

DOI10.1007/s00383-017-4084-5

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.