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BISHOP-KOOP OSTOMY REVISITED: A “TEST-DRIVE” INTESTINAL DIVERSION FOR CHILDREN WITH SUSPECTED BOWEL DYSMOTILITY

BACKGROUND: Bishop-Koop ileostomy has been widely used in pediatric patients with the intention of including as much bowel as possible in the intestinal transit early in the management of children with meconium ileus and intestinal atresia. In recent years, we have been using it as an alternative to...

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Autores principales: da Silva, Márcia Alessandra Cavalaro Pereira, Miranda, Márcio Lopes, Oliveira-Filho, António Gonçalves, Bustorff-Silva, Joaquim Murray
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10026979/
https://www.ncbi.nlm.nih.gov/pubmed/36946847
http://dx.doi.org/10.1590/0102-672020230002e1722
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author da Silva, Márcia Alessandra Cavalaro Pereira
Miranda, Márcio Lopes
Oliveira-Filho, António Gonçalves
Bustorff-Silva, Joaquim Murray
author_facet da Silva, Márcia Alessandra Cavalaro Pereira
Miranda, Márcio Lopes
Oliveira-Filho, António Gonçalves
Bustorff-Silva, Joaquim Murray
author_sort da Silva, Márcia Alessandra Cavalaro Pereira
collection PubMed
description BACKGROUND: Bishop-Koop ileostomy has been widely used in pediatric patients with the intention of including as much bowel as possible in the intestinal transit early in the management of children with meconium ileus and intestinal atresia. In recent years, we have been using it as an alternative to test the distal bowel function before closure of a previously constructed ostomy in selected children with questionable distal bowel motility. AIMS: The aim of this study was to present our experience with this alternative use of the Bishop-Koop ostomy. METHODS: This is a cross-sectional retrospective review of hospital records, combined with a comprehensive literature review. RESULTS: Seven children were included: five had suspected aganglionosis, one had gastroschisis complicated with ileal atresia, and one had a colonic stricture secondary to necrotizing enterocolitis. In this short series of patients, motility of the distal bowel was correctly assessed in six patients and partially correctly assessed in one patient. One patient did not pass stools per anus after the Bishop-Koop, and he was later confirmed to have Hirschsprung disease. Four patients resumed normal evacuation pattern after closure of the Bishop-Koop. One patient had a Bishop-Koop colostomy because of recurrent enterocolitis after a transanal pull-through. Although he evacuated normally while having the colostomy, the diarrhea recurred after the ostomy was closed. An additional patient, with a severe behavioral problem, did not evacuate per anus after her colostomy was transformed in a Bishop-Koop-type ostomy, despite the apparent presence of normal ganglia in the bowel wall. CONCLUSIONS: Data from the present series allow us to affirm that Bishop-Koop-type ostomy is a safe and efficient procedure that can be used to assess distal bowel function before a definitive transit reconstruction, in children with uncertain motility issues.
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spelling pubmed-100269792023-03-21 BISHOP-KOOP OSTOMY REVISITED: A “TEST-DRIVE” INTESTINAL DIVERSION FOR CHILDREN WITH SUSPECTED BOWEL DYSMOTILITY da Silva, Márcia Alessandra Cavalaro Pereira Miranda, Márcio Lopes Oliveira-Filho, António Gonçalves Bustorff-Silva, Joaquim Murray Arq Bras Cir Dig Original Article BACKGROUND: Bishop-Koop ileostomy has been widely used in pediatric patients with the intention of including as much bowel as possible in the intestinal transit early in the management of children with meconium ileus and intestinal atresia. In recent years, we have been using it as an alternative to test the distal bowel function before closure of a previously constructed ostomy in selected children with questionable distal bowel motility. AIMS: The aim of this study was to present our experience with this alternative use of the Bishop-Koop ostomy. METHODS: This is a cross-sectional retrospective review of hospital records, combined with a comprehensive literature review. RESULTS: Seven children were included: five had suspected aganglionosis, one had gastroschisis complicated with ileal atresia, and one had a colonic stricture secondary to necrotizing enterocolitis. In this short series of patients, motility of the distal bowel was correctly assessed in six patients and partially correctly assessed in one patient. One patient did not pass stools per anus after the Bishop-Koop, and he was later confirmed to have Hirschsprung disease. Four patients resumed normal evacuation pattern after closure of the Bishop-Koop. One patient had a Bishop-Koop colostomy because of recurrent enterocolitis after a transanal pull-through. Although he evacuated normally while having the colostomy, the diarrhea recurred after the ostomy was closed. An additional patient, with a severe behavioral problem, did not evacuate per anus after her colostomy was transformed in a Bishop-Koop-type ostomy, despite the apparent presence of normal ganglia in the bowel wall. CONCLUSIONS: Data from the present series allow us to affirm that Bishop-Koop-type ostomy is a safe and efficient procedure that can be used to assess distal bowel function before a definitive transit reconstruction, in children with uncertain motility issues. Colégio Brasileiro de Cirurgia Digestiva 2023-03-20 /pmc/articles/PMC10026979/ /pubmed/36946847 http://dx.doi.org/10.1590/0102-672020230002e1722 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
da Silva, Márcia Alessandra Cavalaro Pereira
Miranda, Márcio Lopes
Oliveira-Filho, António Gonçalves
Bustorff-Silva, Joaquim Murray
BISHOP-KOOP OSTOMY REVISITED: A “TEST-DRIVE” INTESTINAL DIVERSION FOR CHILDREN WITH SUSPECTED BOWEL DYSMOTILITY
title BISHOP-KOOP OSTOMY REVISITED: A “TEST-DRIVE” INTESTINAL DIVERSION FOR CHILDREN WITH SUSPECTED BOWEL DYSMOTILITY
title_full BISHOP-KOOP OSTOMY REVISITED: A “TEST-DRIVE” INTESTINAL DIVERSION FOR CHILDREN WITH SUSPECTED BOWEL DYSMOTILITY
title_fullStr BISHOP-KOOP OSTOMY REVISITED: A “TEST-DRIVE” INTESTINAL DIVERSION FOR CHILDREN WITH SUSPECTED BOWEL DYSMOTILITY
title_full_unstemmed BISHOP-KOOP OSTOMY REVISITED: A “TEST-DRIVE” INTESTINAL DIVERSION FOR CHILDREN WITH SUSPECTED BOWEL DYSMOTILITY
title_short BISHOP-KOOP OSTOMY REVISITED: A “TEST-DRIVE” INTESTINAL DIVERSION FOR CHILDREN WITH SUSPECTED BOWEL DYSMOTILITY
title_sort bishop-koop ostomy revisited: a “test-drive” intestinal diversion for children with suspected bowel dysmotility
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10026979/
https://www.ncbi.nlm.nih.gov/pubmed/36946847
http://dx.doi.org/10.1590/0102-672020230002e1722
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