The Outcomes of Enterostomy Closure Operations in Pediatric Age Group | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 19 November 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.432468.4255 | ||
| Authors | ||
| Abdulrahman Mahmoud Ali* 1; Ahmed Ezzat Rozeik2; Doaa Omar Refaat2; Ameen Mohamed Saleh2; Amr Usama Elsafy3 | ||
| 1Department of Pediatric Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| 2Professor of Pediatric Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| 3Assistant Lecture of Pediatric Surgery, Faculty of Medicine, Zagazig University, Egypt | ||
| Abstract | ||
| Background: Enterostomy closure is a frequently performed pediatric surgical procedure, usually following anorectal malformations, Hirschsprung’s disease, or other intestinal emergencies. Despite being considered routine, it carries substantial morbidity, particularly wound-related complications. Identifying risk factors that predispose children to adverse outcomes is critical for improving perioperative management. This study aimed to evaluate the outcomes of pediatric enterostomy closure and to identify clinical, operative, and laboratory predictors of postoperative complications. Methods: This prospective cohort study was conducted at the Pediatric Surgery Department, Zagazig University Hospital, Twenty children under 14 years of age undergoing elective enterostomy closure were enrolled. All patients underwent standardized preoperative evaluation, surgical intervention, and postoperative care. According to postoperative outcomes, patients were stratified into two groups: complicated cases (n=15) who developed morbidity, and non-complicated cases (n=5) who had uneventful recovery. Demographic characteristics, operative details, and laboratory findings were compared using appropriate statistical tests, with a p-value <0.05 considered significant. Results: The overall complication rate was 75%. Wound infection (60%) and wound dehiscence (20%) were the most frequent adverse events, while intestinal obstruction and seroma occurred in 5% of cases each. Male sex was significantly associated with complications (p=0.0359). Complicated cases had significantly lower birth weight (1.99vs. 2.42kg, p=0.001), lower weight at enterostomy (p=0.0042). No significant associations were found for gestational age, surgical timing, stoma type or level, or most perioperative laboratory values. Hospital stay was significantly prolonged in complicated cases (7.8vs. 6.6days, p=0.0371). Conclusion: Enterostomy closure in children is associated with a high complication rate, predominantly wound infections. | ||
| Keywords | ||
| Enterostomy closure; Pediatric surgery; Postoperative complications; Wound infection; Wound dehiscence | ||
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