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Short-bowel syndrome: a collective review
M H Galea1, H Holliday, R Carachi
1Department of Paediatric Surgery, Queen's Medical Centre, Nottingham, England.
Journal of Pediatric Surgery
|May 1, 1992
Summary
Advances in neonatal care allow survival of neonates with short bowel. Specific criteria regarding remaining jejunoileal length and ileocecal valve (ICV) presence indicate salvageable cases.
Area of Science:
- Pediatric Surgery
- Neonatal Nutrition
- Gastrointestinal Surgery
Background:
- Neonatal survival rates have improved due to advancements in pediatric surgical care and nutritional support.
- Managing neonates with extremely short bowel length presents unique challenges due to limited individual surgeon experience.
Purpose of the Study:
- To survey current management techniques for neonates with short bowel.
- To document complications and review the clinical and economic impact of prolonged total parenteral nutrition (TPN).
Main Methods:
- A postal questionnaire survey was distributed to pediatric surgeons within the British Association of Paediatric Surgeons.
- The survey focused on surgeons with an interest in the gastrointestinal tract.
Main Results:
- The study gathered data on current management strategies and observed complications in neonates with short bowel.
- Analysis reviewed the clinical outcomes and economic consequences associated with long-term TPN.
Conclusions:
- Neonates with a remaining jejunoileal segment >20 cm with an intact ileocecal valve (ICV) are considered salvageable.
- Neonates with a remaining jejunoileal segment >30 cm without an ICV are also considered salvageable, particularly if less than 35 weeks' gestation.