This journal is
indexed in Scopus
Year 2020 Vol. 28 No 1
B.N. BISSALIYEV 1, N.A. TSAP 2, A.B. TUSSUPKALIEV 1, S.P. DOSMAGAMBETOV 1, K.K. ZHALMUKHANBETOV 1, A.M. GRJIBOVSKI 3, 4
MAGNETIC COMPRESSION INTER-INTESTINAL ANASTOMOSIS IN THE TREATMENT OF CHILDREN WITH ENTEROSTOMES
West Kazakhstan Marat Ospanov State Medical University 1, Aktobe, The Republic of Kazakhstan
Ural State Medical University 2, Yekaterinburg,
Northern State Medical University 3, Arkhangelsk,
North-Eastern Federal University 4, Yakutsk,
The Russian Federation
Objective. To compare effectiveness of methods for restoring intestinal continuity in infants with enterostomas.
Methods. A retrospective cohort study was conducted covering 34 children with enterostomas treated from 2015 to 2018 at the hospital of West Kazakhstan Medical University (Aktobe, Kazakhstan) and in the First Regional Pediatric Hospital (Yekaterinburg, Russia). The level of intestinal stoma formation is dominated by ileostomy – 22 (64.7%) children, double ileocolostomy – 7 (20.6%) children, yeunostomy – 5 (14.7%) children. The study group included 16 children with enterostomes with the use of method of magnetic compression inter-intestinal anastomosis (MCIA). The reference group consisted of 18 children with enterostomy without the use of MCIA. The following outcomes were compared: duration of in-hospital stay, number of days in the intensive care unit, duration of full parenteral nutrition, number of complications and deaths. The differences between numeric outcomes were presented as means with 95% confidence intervals (CI) while the differences in dichotomous outcomes were presented with relative risks with 95% CI.
Results. Duration of in-hospital stay and stay at the intensive care unit in the MCIA group was 13.1 days (95% CI: 4.4-21.8, p=0.003) and 13.5 days (95% CI: 7.1-19.9, p<0.001), respectively, shorter than in the reference group. Duration of full parenteral nutrition in the MCIA groups was 12.7 days (95% CI: 5.8–19.6, p<0.001) shorter. Complications (OR=3.6, 95% CI: 0.4-28.6) and mortality 4.1 (95% CI: 0.2–78.8), respectively, were more common in the reference group, although not reaching the level of statistical significance.
Conclusions. The use of MCIA contributes to a more rapid improvement of the child’s condition, reduces the need for parenteral nutrition and leads to a reduction in intensive care- and total hospital stay.
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030020, Republic of Kazakhstan,
Aktobe, Maresyev Str., 68,
West Kazakhstan State Medical University,
Pediatric Surgery Department.
Tel. +7 775 179-35-25,
Bauyrzhan N. Bissaliyev
Bissaliyev Bauyrzhan N., PhD, Associate Professor of the Pediatric Surgery Department, West Kazakhstan Marat Ospanov State Medical University, Aktobe, Republic of Kazakhstan.
Tsap Natalya A., MD, Professor, Head of the Pediatric Surgery Department, Ural Statement Medical University, Yekaterinburg, Russian Federation.
Tussupkaliev Assylbek B., PhD, Associate Professor, Head of the Pediatric Surgery Department, West Kazakhstan Marat Ospanov State Medical University, Aktobe, Republic of Kazakhstan.
Dosmagambetov Sagidulla P., PhD, Professor of the Pediatric Surgery Department, West Kazakhstan Marat Ospanov State Medical University, Aktobe, Republic of Kazakhstan.
Zhalmukhanbetov Kairat K., Assistant of the Pediatric Surgery Department, West Kazakhstan Marat State Medical University, Aktobe, Republic of Kazakhstan.
Grjibovski Andrej M., MD, Director of the Central Scientific Research Laboratory, Northern State Medical University, Arkhangelsk, Russian Federation, Professor of the Department of Public Health, Health Care, Hygiene and Bioethics, North-Eastern Federal University, Yakutsk, Russian Federation.