Peculiarities of management of children with intestinal stomas of different localization in the neonatal period

Intestinal stoma formation in neonates with severe gastrointestinal diseases or congenital malformations remains a critical and challenging issue in neonatology. Postoperatively, preventing associated complications-such as high enteric stoma losses, electrolyte imbalances, malabsorption syndrome, cholestasis, and small intestinal bacterial overgrowth — is equally urgent. Effective neonatal resuscitation with intensive stabilization, comprehensive monitoring, homeostasis correction, and infection control is essential. Early initiation of enteral nutrition (starting with trophic feeds and gradually advancing based on the preserved bowel’s capacity) alongside parenteral support is crucial post-surgery. Breast milk provision and maternal involvement in stoma care are vital components. The ultimate goal of management is to prepare the infant for definitive reconstructive surgery.