Radiologic Image-Guided Tube Stoma Insertion in Neonatal Short Bowel Syndrome: First Case Report in the Literature

Area of Science:

• Neonatal surgery
• Pediatric gastroenterology
• Interventional radiology

Background:

• Neonatal short bowel syndrome (SBS) management is complex, requiring multidisciplinary expert teams.
• Controlled tissue expansion (CTE) is a surgical strategy involving tube stomas to increase bowel length and diameter.
• CTE carries risks, including tube dislodgement, necessitating further surgery and potential bowel length loss.

Purpose of the Study:

• To describe a novel, less invasive method for managing dislodged tube stomas in CTE programs.
• To introduce image-guided, radiologically performed tube stoma reinsertion as an alternative approach.

Main Methods:

• The study details a new technique for managing CTE complications.
• This involves an image-guided procedure performed by interventional radiologists for tube stoma reinsertion.
• The approach aims to be less invasive than traditional surgical interventions.

Main Results:

• Radiologically guided tube stoma reinsertion is presented as a viable management strategy.
• This technique offers a promising alternative for children with ultrashort bowel syndrome undergoing CTE.
• The method addresses complications associated with CTE, such as tube dislodgement.

Conclusions:

• Image-guided tube stoma reinsertion is a promising technique for managing CTE complications in neonatal SBS.
• This less invasive approach should be considered within controlled tissue expansion programs.
• It offers a potential solution to mitigate risks associated with tube dislodgement and further surgical interventions.