Background and aims To explore the application effect of the intestinal lumen catheter external drainage for the surgical treatment of neonatal necrotizing enterocolitis (NEC).
Methods From January 2008 to January 2014, 22 children with NEC which need the surgical treatment and have too extensive lesions to be decided the resection range were treated by intestinal lumen catheter external drainage and traditional operation in the First Hospital of Jilin University. These patients were divided into 2 groups. In group A, from January 2008 to April 2011, 10 patients were operated by traditional operation--- the first phase enterostomy or intestinal exteriorization, and after 24 h, redetermine the resection range, after 2–3 months, the closure operation will be executed. In group B, from May 2011 to January 2014, 12 patients were treated by catheter drainage --- the first phase operation of intestinal lumen catheter external drainage, after 7–10 days, according to the bowel condition, enteroenterostomy or enterostomy will be executed, then after 2–3 months, the closure operation will be performed. The first phase operative time and the postoperative survival rate will be compared between two groups.
Results Age and weight were not different between two groups. The operative time in group A was longer than that in group B [(65 ± 18 vs. 42 ± 13)min] (p < 0.05). The postoperative survival rate of group B was obviously higher than that of group A [83% vs.40%].
Conclusions Compared with traditional operation, the intestinal lumen catheter external drainage have the advantages of shorter operative time and higher postoperative survival rate.