Ileostomy Prolapse in Children with Intestinal Dysmotility
المؤلفون المشاركون
Velazco, Cristine S.
Sparks, Eric A.
Fullerton, Brenna S.
Fisher, Jeremy G.
Khan, Faraz A.
Hall, Amber M.
Jaksic, Tom
Rodriguez, Leonel
Modi, Biren P.
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-09-18
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Background.
A relationship between intestinal motility and ileostomy prolapse has been suggested but not demonstrated objectively.
Aims.
This study evaluated the association between ileostomy prolapse and intestinal dysmotility in children.
Methods.
IRB-approved retrospective review of 163 patients with ileostomies (1998–2014) at a single institution.
Patients were categorized as having clinical dysmotility as a primary diagnosis (n=33), clinically suspected dysmotility based on underlying diagnosis (n=60), or intestinal dysmotility unlikely (n=70) at the time of ileostomy present.
Intestinal manometry was categorized as normal (n=13) or abnormal (n=10).
Primary outcome was pathologic stoma prolapse.
Multivariate analysis using a logistic regression model and log-rank test to compare stoma prolapse rates over time between motility groups were used.
Results.
Clinical diagnosis of dysmotility (p≤0.001) and manometric findings of dysmotility (p=0.024) were independently associated with stoma prolapse.
Clinical dysmotility correlated with manometric findings (κ=0.53).
Prolapse occurred in 42% of patients with dysmotility, 34% of patients with suspected dysmotility, and 24% of patients with normal motility.
One-year prolapse-free stoma “survival” was 45% for dysmotility, 72% for suspected dysmotility, and 85% for intestinal dysmotility unlikely groups (p=0.006).
Conclusions.
Children with intestinal dysmotility are at great risk for stoma prolapse.
Intestinal manometry could help identify these patients preoperatively.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Sparks, Eric A.& Velazco, Cristine S.& Fullerton, Brenna S.& Fisher, Jeremy G.& Khan, Faraz A.& Hall, Amber M.…[et al.]. 2017. Ileostomy Prolapse in Children with Intestinal Dysmotility. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1156582
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Sparks, Eric A.…[et al.]. Ileostomy Prolapse in Children with Intestinal Dysmotility. Gastroenterology Research and Practice No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1156582
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Sparks, Eric A.& Velazco, Cristine S.& Fullerton, Brenna S.& Fisher, Jeremy G.& Khan, Faraz A.& Hall, Amber M.…[et al.]. Ileostomy Prolapse in Children with Intestinal Dysmotility. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1156582
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1156582
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر