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Reasons for creating an ileostomy 

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Congenital defects

Neonatal necrotizing enterocolitis (NEC) is an acute necrosis of the intestine. It always involves the distal terminal part of the ileum and leads to infection and damage to parts of the small and large intestine. NEC affects 1 in 2,000-4,000 newborn babies, and causes the death of premature babies weighing between 750g and 1750g.

NEC is caused by a combination of two things: first the patient suffers ischaemia of the bowel mucosa and then the intestinal microflora invades the injured mucosa.

Treatment
When NEC occurs in very small infants, it may require surgical intervention and the creation of an ileostomy. The ileostomy is removed when the child is feeling better.

In very rare cases, congenital deformities – such as spina bifida – make an ileostomy necessary. If you wish to read more about this, the booklet Reasons for creating a colostomy has a chapter on congenital defects

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