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- Title
Does diverting ileostomy improve the outcome in children with tuberculous small bowel obstruction requiring surgical intervention?
- Authors
Khan, Rizwan; Wahab, Shagufta; Ghani, Imran; Khan, Rizwan Ahmad
- Abstract
<bold>Introduction: </bold>Abdominal tuberculosis is fairly common in children. The most common clinical presentation is bowel obstruction. Depending upon the presentation, the intestinal obstruction can be either managed conservatively or by operative intervention. There are various options in patients who undergo operative treatment. This study was undertaken to analyze the results of operative intervention with and without ileostomy.<bold>Materials and Methods: </bold>This is a retrospective study carried out over a period of 10 years on 32 children who were operated for small bowel obstruction due to abdominal tuberculosis. The patients were divided into two groups (A: with ileostomy and B: without ileostomy). The relevant data and the defined outcome measures were statistically analyzed.<bold>Results: </bold>A total of 32 children with tuberculous bowel obstruction requiring surgical intervention were studied. The patient of group A had mean duration of postoperative ileus for 2.55 days, restoration of enteral feeding within mean period of 3.55 days and had a primary hospital stay for a mean period of 9.0 days. These outcomes when compared with group B patients were statistically significant.<bold>Conclusion: </bold>In children with bowel obstruction due to tuberculosis, diverting ileostomy decreases the morbidity by allowing early return of enteral motility, early institution of feeding and first-line ATT and decreasing the primary hospital stay.
- Subjects
ILEOSTOMY; TUBERCULOSIS in children; BOWEL obstructions; ABDOMINAL diseases; INTESTINAL diseases; HEALTH outcome assessment; GASTROINTESTINAL surgery; ABDOMINAL surgery; LENGTH of stay in hospitals; SMALL intestine; LONGITUDINAL method; SURGICAL complications; TIME; TREATMENT effectiveness; RETROSPECTIVE studies
- Publication
Pediatric Surgery International, 2017, Vol 33, Issue 11, p1215
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-017-4169-1