SMALL INTESTINAL FISTULAS IN CHILDREN

The article systematizes clinical manifestations of diseases, information on auxiliary diagnostic methods and surgical tactics. For the purpose of forming all of intestinal stoma in our observations is divided into the following groups: temporary stoma formed to fully turn off the segment of the colon in emergency status of the child (in 29 patients with 70.7%); intestinal stoma as a stage correction of congenital malformations (in 7 patients – 17.1%); decompressive stoma with paralytic intestinal obstruction (5 patients – 12.2%). Indications, type and level of formation of a temporary intestinal stoma in children are determined by the specifics of the underlying disease and the option of subsequent reconstructive surgery. Despite the inevitability of the development of parastomal complications, in most cases, with the right surgical technique, it is possible to prevent their occurrence.