We read with interest the article by Schattenkerk et al. [
[1]
], regarding the use of routine contrast enema prior to stoma reversal and have undertaken
a similar study in our institution with similar results. Over 5 years, from March
2016, we observed 43 infants (corrected gestational age <1 year at stoma reversal)
in which necrotizing enterocolitis (NEC) was the most common pathology for stoma formation
(n = 18, 42%). We excluded infants with Hirschsprung's disease as the indication for
these imaging studies is to define anatomy rather than exclude a stricture. Our stricture
rate at surgery was similar at 7.3% (n = 3) and was only seen in those who previously had NEC. Only one of these strictures
was identified on routine contrast study (either contrast enema or antegrade loopogram
study via the mucous fistula). Importantly, we had one major complication in an infant
without NEC where at antegrade contrast study there was perforation of the mucous
fistula into the peritoneum. This highlights even more so the importance of only undertaking
contrast studies in infants at risk of stricturing disease which is those with previous
NEC.- Eeftinck Schattenkerk R.M.
- Eeftinck Schattenkerk L.D.
- Musters G.D.
- van Schuppen J.
- de jong J.R.
- Gorter R.R.
- et al.
Routine contrast enema prior to stoma reversal seems only required following treatment
for necrotizing enterocolitis: an evaluation of the diagnostic accuracy of the contrast
enema.
J Pediatr Surg. 2022;
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References
- Routine contrast enema prior to stoma reversal seems only required following treatment for necrotizing enterocolitis: an evaluation of the diagnostic accuracy of the contrast enema.J Pediatr Surg. 2022;
- The value of contrast studies in the evaluation of bowel strictures after necrotising enterocolitis.Pediatr Surg Int. May 2016; 32: 465-470
Article info
Publication history
Published online: August 12, 2022
Accepted:
August 3,
2022
Received:
August 3,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
