Comparative outcomes of proximal stoma versus primary anastomosis in pediatric colorectal trauma

jpedsurg.org

Historically, fecal diversion via proximal stoma (PS) was an accepted option for pediatric colorectal trauma, but recent studies have suggested primary anastomosis (PA) to be safe. This study aimed to compare outcomes between PS and PA for pediatric colorectal trauma, hypothesizing PS will be associated with increased complications but lower mortality compared to PA in this population.

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Article · Aug 2025 · 1 min read

In brief

This study compares two surgical approaches for managing colorectal injuries in children: creating a temporary stoma versus directly reconnecting the bowel. The research examines complication rates and mortality between these techniques to guide optimal treatment decisions in pediatric trauma cases.

Primary anastomosis is increasingly considered safe for pediatric colorectal trauma, challenging historical preference for fecal diversion.
Proximal stoma may be associated with higher complication rates compared to primary anastomosis in this population.
Primary anastomosis could potentially have higher mortality risk, requiring careful patient selection and surgical judgment.
Treatment choice between stoma and anastomosis should balance complication risk against mortality outcomes in pediatric trauma cases.
Recent evidence supports reconsidering traditional surgical approaches to pediatric colorectal injuries.

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