MAGNETIC COMPRESSION ANASTOMOSIS IN INFANTS WITH ENTEROSTOMIES: A STAGED APPROACH WITH EARLY BENEFITS AND LONG-TERM LIMITATIONS

Background. To evaluate early postoperative outcomes and long-term functional performance of magnetic compression anastomosis in infants with enterostomies and to identify its limitations in the context of somatic growth. Materials and methods. This retrospective cohort study included 51 infants treated between 2015 and 2025 at a tertiary pediatric surgical center. Patients were divided into two groups: the magnetic compression anastomosis group (n = 26) and the control group (n = 25), in which intestinal continuity was restored using conventional surgical techniques. Outcomes included hospital stay, intensive care, parenteral nutrition, time to full enteral feeding, postoperative complications, mortality, and long-term outcomes. Results. The magnetic compression anastomosis group demonstrated significantly improved early postoperative outcomes. Hospital stay (45.8 vs 57.9 days, p = 0.003), intensive care duration (19.2 vs 31.5 days, p < 0.001), parenteral nutrition (16.5 vs 27.6 days, p < 0.001), and time to full enteral feeding (15.0 vs 24.2 days, p < 0.001) were significantly reduced. Complication rates were lower (7.7% vs 24.0%) but not statistically significant. No mortality was observed in the magnetic compression anastomosis group, whereas deaths occurred in the control group (0% vs 12.0%). Long-term follow-up showed functional impairment in cases of prolonged anastomosis persistence (>4–5 months) due to mismatch between fixed anastomotic diameter and intestinal growth. Conclusion. Magnetic compression anastomosis is an effective minimally invasive method for early restoration of intestinal continuity in infants, with improved short-term outcomes. The technique should be considered temporary, and timely definitive surgical reconstruction remains essential.

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