RT Book, Section A1 Gomella, Tricia Lacy A1 Eyal, Fabien G. A1 Bany-Mohammed, Fayez SR Print(0) ID 1168356455 T1 Ostomy Care T2 Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781259644818 LK accesspediatrics.mhmedical.com/content.aspx?aid=1168356455 RD 2024/03/27 AB A variety of surgical procedures may require an ostomy, a temporary or permanent artificial opening in the intestine (enterostomy) or urinary tract (urostomy). An ostomy is performed for gastrointestinal or urinary diversion. Ostomies in the neonatal intensive care unit are most commonly intestinal for the management of necrotizing enterocolitis (NEC), anorectal malformations, meconium ileus, Hirschsprung disease, volvulus, and intestinal atresias, and these disease entities are discussed elsewhere in this book. A gastrostomy (surgical opening in the stomach) may be necessary for feeding or decompression in a variety of conditions, such as the inability to swallow (neurologic or congenital anomalies), esophageal abnormalities, and prolonged poor oral feeding. Urinary diversions are sometimes performed. This chapter will only discuss ostomy care in gastrointestinal diversions since they are the more common in neonates.