Korean J Pediatr Gastroenterol Nutr.  2004 Sep;7(2):260-263.

Continuous Distal Ileostomy Drip Feeding with the Secretion of the Proximal Stoma in a Neonate with IIIa Ileal Atresia

• Yang ES
• Choi YC
• Kim EY
• Moon KR
• Chang JH

Abstract

Short-bowel syndrome is functionally defined as a state of malabsorption following loss of small bowel, which comprises the sequelae of nutrient, fluid, and weight loss. The proximal segment of the bowel of a patient with intestinal atresia is usually grossly distended and atonic. In contrast, distal segment is smaller. For this reason, anastomosis of the proximal and the distal segment is technically difficult and may cause no propulsion even when they are anastomosed. We experienced that continuous drip ileostomy feeding with the secretions from the proximal stoma stimulated the distal bowel to accommodate and resolved many sequelae following loss of small bowel in a patient with short-bowel syndrome due to IIIa ileal atresia.

Keyword

Continuous drip ileostomy feeding; Short-bowel syndrome

MeSH Terms

Humans
Ileostomy*
Infant, Newborn*
Intestinal Atresia
Weight Loss