Universität zu Köln

Broekaert, Ilse, Keller, Titus, Schulten, Daisy, Huenseler, Christoph, Kribs, Angela and Duebbers, Martin (2018). Peritoneal drainage in pneumoperitoneum in extremely low birth weight infants. Eur. J. Pediatr., 177 (6). S. 853 - 859. NEW YORK: SPRINGER. ISSN 1432-1076

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Abstract

The aim was to determine if peritoneal drainage (PD) is a suitable treatment for pneumoperitoneum in extremely low birth weight (ELBW) infants. A retrospective chart review of 42 ELBW infants with pneumoperitoneum at the University Hospital of Cologne between November 2014 and April 2017 was performed. Forty-two infants with a median birth weight of 645 g (interquartile range (IQR) 550, 806) and a median gestational age of 24.3 weeks (IQR 23.2, 25.6) were treated for pneumoperitoneum. Twenty-six (62%) received PD, and in ten (38%), the drain could be removed without further intervention. Infants in the PD group were of significantly lower birth weight (622g vs. 750 g), age (4.5 vs. 10.0 days), and weight at diagnosis (538 vs. 778 g). The mortality in the PD group was 15% at 90 days of life, but no patient deceased in the primary laparotomy group. Conclusion: We suggest PD with close evaluation of drainage and clinical course as an alternative treatment for pneumoperitoneum in ELBW infants allowing bridging the vulnerable first days of life until these infants are in a more stable condition. Despite not reaching statistical significance in our series, PD showed the trend towards higher mortality.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Broekaert, Ilse UNSPECIFIED UNSPECIFIED UNSPECIFIED Keller, Titus UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulten, Daisy UNSPECIFIED UNSPECIFIED UNSPECIFIED Huenseler, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Kribs, Angela UNSPECIFIED UNSPECIFIED UNSPECIFIED Duebbers, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-185523
DOI:	10.1007/s00431-018-3131-0
Journal or Publication Title:	Eur. J. Pediatr.
Volume:	177
Number:	6
Page Range:	S. 853 - 859
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-1076
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PERFORATED NECROTIZING ENTEROCOLITIS; SPONTANEOUS INTESTINAL PERFORATION; LOCAL-ANESTHESIA; DEVELOPING BRAIN; LAPAROTOMY; OUTCOMES; METAANALYSIS; COHORT Multiple languages Pediatrics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18552