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Related Experiment Videos

[Extensive small intestinal resection in newborn infants].

O Goulet1, C Maurage, Y Revillon

  • 1Service de Gastroentérologie et Nutrition et de la Clinique Chirurgicale Infantile, Hôpital des Enfants-Malades, Paris.

Archives Francaises De Pediatrie
|June 1, 1990
PubMed
Summary

Survival rates and intestinal adaptation in infants with extensive small bowel resection significantly improved after 1980, with longer residual small bowel length and the presence of the ileocecal valve being key factors.

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Area of Science:

  • Pediatric Surgery
  • Neonatal Care
  • Gastroenterology

Context:

  • Analyzes 83 infants undergoing extensive small bowel resection from 1970-1987.
  • Resection causes included atresia, volvulus, gastroschisis, and vascular enteropathy.
  • Patients grouped by residual small bowel length: <40 cm (Group I) and 40-80 cm (Group II).

Purpose:

  • To evaluate factors influencing survival and intestinal adaptation post-resection.
  • To assess the impact of residual bowel length and ileocecal valve presence.
  • To determine the role of nutritional support in recovery.

Summary:

  • Survival rates were higher with longer residual small bowel (92% in Group II vs. 63.6% in Group I).
  • Birth after 1980 correlated with improved survival (95% vs. 65%).

Related Experiment Videos

  • Intestinal autonomy acquisition time varied by bowel length and ileocecal valve presence, with shorter times for Group II (14 months vs. 29.5 months).

    • Impact:

    • Demonstrates improved outcomes in recent decades for neonates with short bowel syndrome.
    • Highlights the critical role of residual bowel length and ileocecal valve in adaptation.
    • Confirms the efficacy of artificial nutrition, including home parenteral nutrition, for growth and family reintegration.