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[Long term prognosis after massive small bowel resection in children]
1Department of Pediatric Surgery, Osaka University Medical School, Japan.
Nihon Geka Gakkai Zasshi
|September 1, 1988
Summary
Long-term prognosis for pediatric short bowel syndrome patients is positive, with most achieving normal growth and oral feeding after intensive nutritional support. Some metabolic complications may still occur.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Nutritional Science
Context:
- Massive small bowel resection in children can lead to short bowel syndrome.
- Congenital intestinal atresia and midgut volvulus are primary causes.
- Assessing long-term outcomes is crucial for patient management.
Purpose:
- To evaluate the long-term prognosis of pediatric patients surviving massive small bowel resection.
- To identify factors influencing growth, nutritional independence, and complications.
Summary:
- Eight survivors of massive small bowel resection (27-75 cm residual intestine) were studied for 2-19 years.
- Most patients achieved nutritional independence (oral meals or enteral formula) and near-normal somatic growth with intensive support.
- D-Xylose absorption improved, but fat absorption was impaired with <45 cm residual intestine. Late metabolic complications occurred in three cases.
Impact:
- Demonstrates the potential for good long-term outcomes in pediatric short bowel syndrome with appropriate care.
- Highlights the importance of nutritional support in achieving growth and independence.
- Identifies residual bowel length as a key factor for absorption and potential complications.