A comparison of surgical complications after appendicostomy and neoappendicostomy in pediatric patients
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Read the article on jpedsurg.org ↗Article · Apr 2019 · 1 min read
In brief
In brief
This retrospective study of 261 pediatric patients compares complication rates between appendicostomy and neoappendicostomy procedures for bowel management. Neoappendicostomy showed significantly higher rates of major complications requiring surgical or interventional radiology intervention (45% vs 29%).
Written by the GCMD Library team from the article.
Purpose
There are limited data on neoappendicostomy complications owing to small patient populations. This study compares appendicostomy and neoappendicostomy procedures with an emphasis on major postoperative complications requiring either a surgical or interventional radiology procedure.
Method
A single-institution retrospective review included all patients with complete medical charts in the Cincinnati Children's Colorectal Database who underwent either an appendicostomy or neoappendicostomy from August 2005 through December 2016. Demographics, details of the procedure, and major postoperative complications were evaluated.
Results
261 patients (appendicostomy n = 208, neoappendicostomy n = 53) with a median follow up time of 2.5 years resulted in 84 patients (appendicostomy n = 60, neoappendicostomy n = 24) experiencing a total of 118 complications requiring surgical or radiologic intervention with a significant difference between the groups (29% vs 45%, RR = 1.79 (95% CI: 1.24–2.60), p