Pediatric surgery international
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Pediatr. Surg. Int. · Jul 2012
ReviewThe timing of ostomy closure in infants with necrotizing enterocolitis: a systematic review.
The optimal timing of ostomy closure is a matter of debate. We performed a systematic review of outcomes of early ostomy closure (EC, within 8 weeks) and late ostomy closure (LC, after 8 weeks) in infants with necrotizing enterocolitis. ⋯ Evidence that supports early or late closure is scarce and the published articles are of poor quality. There is no significant difference between EC versus LC in the complication rate. This systematic review supports neither early nor late ostomy closure.