Peritoneal drainage as definitive management of @entity24887 in extremely low-birth-weight XXXX .

@entity1 @entity882 @entity648 @entity1448 @entity24887 @entity298
BACKGROUND/PURPOSE: The optimal management of extremely low-birth-weight (ELBW) @entity1 with @entity24887 remains unclear. The authors evaluated ELBW neonates with @entity24887 in whom @entity298 ( @entity298 ) was intended as definitive therapy. METHODS: The records of 29 consecutive ELBW @entity1 with @entity24887 were reviewed. All underwent @entity298 . Survival, the need for other abdominal procedures, the transition to enteral feeding, and the incidence of @entity1448 and infectious complications were noted. Variables associated with nonsurvival were assessed. RESULTS: Overall survival rate was 66%. In 24% of cases, a second abdominal procedure was required. Full feedings were achieved at a mean of 69 days. Extraabdominal infectious complications occurred in 63% of survivors, and direct @entity648 was greater than 2.0 mg/dL in 57% at 2 months. @entity882 and vasopressor requirements at the time of perforation were associated with nonsurvival. CONCLUSIONS: In this consecutive series of ELBW @entity1 in whom @entity298 was intended as definitive treatment for @entity24887 survival was comparable with that found in series in which immediate laparotomy and resection were used. Few secondary abdominal procedures were required. The interval between @entity298 and full enteral nutrition, however, was long, and the incidence of nonabdominal infectious complications and @entity1448 was substantial.
