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Published on: December 8, 2014

[Continuous extracorporeal stool transport (CEST) in a preterm infant with proximal ileostomy: report of a case]

Mari Trini Jiménez-Rumí1, Marisol Jiménez-Molina, Marta Tamame-San Antonio

  • 1Unidad de Neonatología y UCIP, Corporación Sanitaria Parc Taulí, Sabadell, Barcelona, España. mtrumi@hotmail.com

Enfermeria Clinica
|November 28, 2007
PubMed

Insights

Continuous extracorporeal stool transport (CEST) aids neonates with short bowel syndrome (SBS) by maintaining intestinal function. This technique reduces complications from parenteral nutrition, promoting better outcomes for infants with intestinal failure.

Area of Science:

  • Neonatal surgery
  • Pediatric gastroenterology
  • Intestinal rehabilitation

Background:

  • Short bowel syndrome (SBS) in neonates, often resulting from necrotizing enterocolitis, leads to malabsorption and malnutrition.
  • Conventional management involves prolonged parenteral nutrition, carrying risks of infection and hepatobiliary complications.

Observation:

  • A preterm newborn with extensive small bowel resection and four stomas was treated with continuous extracorporeal stool transport (CEST).
  • CEST involved collecting proximal stoma effluent and returning it to the distal intestine, mimicking physiological flux.

Findings:

  • Application of CEST enabled early reduction and eventual cessation of total enteral nutrition.
  • This approach minimized complications associated with prolonged nutritional support.
  • The distal intestine was maintained in optimal condition for future reconstructive surgery.

Implications:

  • CEST is a safe and effective technique for managing neonates with SBS.
  • This method facilitates the restoration of intestinal homeostasis in infants with intestinal failure.
  • CEST offers a promising alternative for intestinal rehabilitation, improving outcomes for vulnerable newborns.

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