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Aim <p>This study aims to explore the safety and outcomes of our experience on surgical management of simple MI using enterotomy and bowel irrigation over the last 10&#xa0;years in Children’s Health Ireland (CHI) at Crumlin hospital.</p> Methods <p>This is a retrospective review reflects experience of a single surgeon in using enterotomy and bowel irrigation for treatment of simple MI over the last 10&#xa0;years, extending from January 2012 to Dec 2022 in CHI at Crumlin hospital. We included only those who were treated operatively by enterotomy and intra-operative bowel irrigation, either as an upfront procedure, after failure of NOM by Gastrografin enema, or failure of contrast enema to progress into dilated bowel loops. We investigated demographic data, antenatal diagnosis, mode of delivery, CF results, duration to full feed after surgery, time taken to spontaneous bowel movement postoperatively and post-operative complications. Data were analyzed using Jamovi program version&#xa0;2.3.21 and Microsoft Excel 2016 to get percentage, mean and SD.</p> Results <p>A total of eight neonates (six males and two females), treated surgically by enterotomy and bowel irrigation for simple MI in CHI at Crumlin hospital during the period between January 2013 to December 2020. An average gestational age was 38 + 5&#xa0;weeks, while the average birth weight was 3.43&#xa0;kg. Three neonates received Gastrografin enema, while five water soluble contrast enema which demonstrate microcolon but failed to progress into dilated bowel loops. All patients underwent enterotomy and intraoperative bowel irrigation and primary bowel closure after contrast enema trial, an average duration of surgery was one hour and 40&#xa0;min. Among our group we found that they took 11&#xa0;days in average to reach full feed and an average of 4&#xa0;days for having normal bowel activity after surgery. We found that the length of hospital stay among this cohort was at average of 19&#xa0;days. No surgical related complications were recorded in this series.</p> Conclusion <p>Our experience with enterotomy and bowel irrigation for neonates with simple MI who fail NOM, revealed that it is a safe and effective option.</p> Level of evidence <p>IV.</p>

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Outcomes of enterotomy and bowel irrigation for simple meconium ileus: case series and literature review

  • 期刊论文

  • 发表日期：

    2025年5月9日

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  • Hussam Widatella,
  • Fadi Atwan,
  • Mohammed Elifranji,
  • Sri Paran

摘要

Aim

This study aims to explore the safety and outcomes of our experience on surgical management of simple MI using enterotomy and bowel irrigation over the last 10 years in Children’s Health Ireland (CHI) at Crumlin hospital.

Methods

This is a retrospective review reflects experience of a single surgeon in using enterotomy and bowel irrigation for treatment of simple MI over the last 10 years, extending from January 2012 to Dec 2022 in CHI at Crumlin hospital. We included only those who were treated operatively by enterotomy and intra-operative bowel irrigation, either as an upfront procedure, after failure of NOM by Gastrografin enema, or failure of contrast enema to progress into dilated bowel loops. We investigated demographic data, antenatal diagnosis, mode of delivery, CF results, duration to full feed after surgery, time taken to spontaneous bowel movement postoperatively and post-operative complications. Data were analyzed using Jamovi program version 2.3.21 and Microsoft Excel 2016 to get percentage, mean and SD.

Results

A total of eight neonates (six males and two females), treated surgically by enterotomy and bowel irrigation for simple MI in CHI at Crumlin hospital during the period between January 2013 to December 2020. An average gestational age was 38 + 5 weeks, while the average birth weight was 3.43 kg. Three neonates received Gastrografin enema, while five water soluble contrast enema which demonstrate microcolon but failed to progress into dilated bowel loops. All patients underwent enterotomy and intraoperative bowel irrigation and primary bowel closure after contrast enema trial, an average duration of surgery was one hour and 40 min. Among our group we found that they took 11 days in average to reach full feed and an average of 4 days for having normal bowel activity after surgery. We found that the length of hospital stay among this cohort was at average of 19 days. No surgical related complications were recorded in this series.

Conclusion

Our experience with enterotomy and bowel irrigation for neonates with simple MI who fail NOM, revealed that it is a safe and effective option.

Level of evidence

IV.