Risk Factors for Postoperative Complications in Neonatal Necrotizing Enterocolitis Patients with Ileostomy
| Author | jin Ting | en |
| Author | Xu Hong Zhen | en |
| Author | Tang Fang | en |
| Author | Hu Yan | en |
| Issued Date | 2026-02-28 | en |
| Abstract | Background and Objectives: To analyze the complications and associated risk factors after neonatal necrotizing enterocolitis (NEC) treated with ileostomy, and to determine the importance of clinical care and treatment. Methods: A retrospective study was performed on 95 infants who underwent ileostomy for NEC in our hospital from January to December 2020. Follow-up data were collected to analyze gestational age, prematurity, stoma duration, weight gain, and postoperative complications. Univariate and logistic regression analyses were used to identify risk factors for complications. Results: Among 95 infants, 3 preterm infants died due to pneumoperitoneum with multiple organ failure, 1 discontinued treatment due to multiple malformations and social factors, and 3 were lost to follow-up. Of the 88 infants followed, 67 (76.14%) had complications, including 35 (39.77%) with ≥ 3 complications. The most common complications were electrolyte disorders (59.1%), peristomal dermatitis (55.7%), liver function abnormalities (40.9%), malnutrition (39.8%), parastomal hernia (18.2%), intestinal failure (18.2%), stoma retraction (11.4%), and stoma prolapse (5.7%). All 88 infants underwent stoma closure with 100% survival. Univariate analysis showed that stoma duration, parenteral nutrition duration, and weight gain were associated with complications (P < 0.05), but not sex, prematurity, or surgical weight (P > 0.05). Logistic regression confirmed these as independent risk factors. Conclusions: Neonatal ileostomy for necrotizing enterocolitis is characterized by a notably high incidence of postoperative complications, with a substantial proportion of infants experiencing three or more concurrent issues — a pattern distinct from that observed in adult stoma patients. The predominant complications include electrolyte disturbances, peristomal dermatitis, hepatic dysfunction, and malnutrition. These findings warrant considerable clinical attention, and the implementation of targeted interventions is essential to mitigate their occurrence. | en |
| DOI | https://doi.org/10.5812/ijpediatr-169104 | en |
| Keyword | Neonatal Necrotizing Enterocolitis | en |
| Keyword | Ileostomy | en |
| Keyword | Postoperative Complications | en |
| Keyword | Infant, Newborn | en |
| Keyword | Nursing Care | en |
| Keyword | Parenteral Nutrition | en |
| Publisher | Brieflands | en |
| Title | Risk Factors for Postoperative Complications in Neonatal Necrotizing Enterocolitis Patients with Ileostomy | en |
| Type | Research Article | en |
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