Short-bowel syndrome: A collective review
- 1 May 1992
- journal article
- clinical trial
- Published by Elsevier BV in Journal of Pediatric Surgery
- Vol. 27 (5), 592-596
- https://doi.org/10.1016/0022-3468(92)90455-g
Abstract
Neonates can now be expected to survive with very short lengths of bowel because of advances in pediatric neonatal care and in parenteral and enteral nutrition. Most pediatric surgeons have only a few patients with this problem under their care, so individual experience is limited. This collective survey, carried out by postal questionnaires to pediatric surgeons in the British Association of Paediatric Surgeons in the United Kingdom with an interest in the gastrointestinal tract, documents current techniques of management, the complications encountered, and reviews the clinical and economic consequences of prolonged total parenteral nutrition. We conclude that within the limitations of resources and our understanding of prognosis, neonates, especially if less than 35 weeks' gestation, with remaining jejunoileal segment of greater than 20 cm with an intact ileocecal valve (ICV) or greater than 30 cm without an ICV, should be considered salvageable.Keywords
This publication has 12 references indexed in Scilit:
- Parenteral nutrition with associated cholelithiasis: Another iatrogenic disease of infants and childrenJournal of Pediatric Surgery, 1987
- Long-Term Home Parenteral Nutrition in PediatricsJournal of Pediatric Gastroenterology and Nutrition, 1987
- Improved survival in very short small bowelof infancy with use of long-term parenteral nutritionThe Journal of Pediatrics, 1985
- Morbidity and mortality of short-bowel syndrome acquired in infancy: An updateJournal of Pediatric Surgery, 1984
- Normal intestinal length in preterm infantsJournal of Pediatric Surgery, 1983
- Treatment and metabolic findings in extreme short-bowel syndrome with 11 cm jejunal remnantJournal of Pediatric Surgery, 1983
- Colon interposition for the short bowel syndromeJournal of Pediatric Surgery, 1981
- Intestinal loop lengthening—A technique for increasing small intestinal lengthJournal of Pediatric Surgery, 1980
- Segmental Reversal of Small Intestine After Massive Bowel ResectionPublished by American Medical Association (AMA) ,1962
- The Effect of Antiperistaltic Bowel Segments on Intestinal Emptying TimeArchives of Surgery, 1959