Abstract:Objective:To study the management of enterostomy in children.
Methods :The clinical data of 425 cases of enterostomy in children were analyzed retrospectively.
Results: The primary diseases of 425 cases underwent enterostomy included: intestinal perforation (119 cases), intestinal necrosis (36 cases), necrotizing enterocolitis (45 cases), congenital megacolon (61 cases), congenital anal atresia with rectourethral fistula (86 cases), and congenital anal atresia with rectovaginal fistula (78 cases). Among the 425 cases, 159 cases underwent small bowel enterostomy and 266 cases had colostomy; single-stoma enterostomy was done in 225 cases, and double-stoma enterostomy in 197 cases. Follow-up was acquired in 389 patients，and all the stomas were closed successfully. The closure time of small bovvel enterostomy was 1-3 month (ayerage 1.87 months) later, and of colostomy was 3-12 month (averag 4.95 months) later.
Conclusions:When an enterostomy is to be adopted in pediatric surgery, a suitable time and enterostomal location should be chosen according to the state of illness. The timing of enterostomy closure is also very important.