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.98 No.3
- 발행연도
- 2020.3
- 수록면
- 153 - 157 (5page)
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초록· 키워드
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Purpose: Necrotizing enterocolitis and intestinal perforation are the most common surgical emergency in the neonatal intensive care unit. The purpose of this study is to evaluate if peritoneal drainage (PD) is beneficial in extremely low birth weight infants with intestinal perforation.
Methods: Retrospective cohort study of extremely low birth weight infants with a diagnosis of intestinal perforation. They were received primary PD (n = 23, PD group) or laparotomy (n = 13, LAP group). Laboratory and physiologic data were collected and organ failure scores calculated and compared between preprocedure and postprocedures. Data were analyzed using appropriated statistical tests.
Results: Between January 2005 and December 2015, 13 infants (male:female = 9:4) received laparotomy. Of 23 infants (male:female = 16:7) received PD, 20 infants received subsequent laparotomy. There were no demographic differences between PD and LAP groups. And there were no differences in total organ score in either group (PD, P = 0.486; LAP, P = 0.115). However, in LAP group, respiratory score was statistically improved between pre- and postprocedure organ failure score (P = 0.02). In physiologic parameter, PD group had a statistically worsening inotropics requirement (P = 0.025). On the other hand, LAP group had a improvement of PaO₂/FiO₂ ratio (P = 0.01).
Conclusion: PD does not improve clinical status in extremely low birth weight infants with intestinal perforation.
Methods: Retrospective cohort study of extremely low birth weight infants with a diagnosis of intestinal perforation. They were received primary PD (n = 23, PD group) or laparotomy (n = 13, LAP group). Laboratory and physiologic data were collected and organ failure scores calculated and compared between preprocedure and postprocedures. Data were analyzed using appropriated statistical tests.
Results: Between January 2005 and December 2015, 13 infants (male:female = 9:4) received laparotomy. Of 23 infants (male:female = 16:7) received PD, 20 infants received subsequent laparotomy. There were no demographic differences between PD and LAP groups. And there were no differences in total organ score in either group (PD, P = 0.486; LAP, P = 0.115). However, in LAP group, respiratory score was statistically improved between pre- and postprocedure organ failure score (P = 0.02). In physiologic parameter, PD group had a statistically worsening inotropics requirement (P = 0.025). On the other hand, LAP group had a improvement of PaO₂/FiO₂ ratio (P = 0.01).
Conclusion: PD does not improve clinical status in extremely low birth weight infants with intestinal perforation.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (14)
참고문헌 신청
Santulli TV / 1975 / Acute necrotizing enterocolitis in infancy : a review of 64 cases / Pediatrics 55:376~387
Kliegman RM / 1984 / Necrotizing enterocolitis / N Engl J Med 310:1093~1103
Blakely ML / 2005 / Postoperative outcomes of extremely low birth-weight infants with necrotizing enterocolitis or isolated intestinal perforation : a prospective cohort study by the NICHD Neonatal Research Network / Ann Surg 241:984~989
Ein SH / 1977 / Peritoneal drainage under local anesthesia for perforat ions from necrot izing enterocolitis / J Pediatr Surg 12:963~967
Moss RL / 2006 / Laparotomy versus peritoneal drainage for necrotizing enterocolitis and perforation / N Engl J Med 354:2225~2234
Kliegman RM / 1984 / Necrotizing enterocolitis / N Engl J Med 310:1093~1103
Blakely ML / 2005 / Postoperative outcomes of extremely low birth-weight infants with necrotizing enterocolitis or isolated intestinal perforation : a prospective cohort study by the NICHD Neonatal Research Network / Ann Surg 241:984~989
Ein SH / 1977 / Peritoneal drainage under local anesthesia for perforat ions from necrot izing enterocolitis / J Pediatr Surg 12:963~967
Moss RL / 2006 / Laparotomy versus peritoneal drainage for necrotizing enterocolitis and perforation / N Engl J Med 354:2225~2234
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UCI(KEPA) : I410-ECN-0101-2020-514-000449484