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[Extensive resection of the small intestine, (case report)]
Padiatrie Und Padologie. Supplementum
|January 1, 1975
Insights
Extensive intestinal resection in neonates poses significant risks, including sepsis. Careful management is crucial for survival in these critical pediatric cases.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Gastrointestinal Surgery
Context:
- Neonates undergoing extensive intestinal resection present complex surgical challenges.
- Short bowel syndrome can result from significant intestinal loss.
- Post-operative complications are a major concern in this vulnerable population.
Purpose:
- To report outcomes of neonates with extensive intestinal resection.
- To highlight the risks associated with residual intestinal length.
- To identify potential complications such as sepsis.
Summary:
- Five neonates underwent extensive intestinal resection with varying residual intestine lengths (33-65 cm).
- Mortality occurred due to sepsis (2) and pneumonia (1).
- Two survivors are documented at six years and four months post-operation.
Impact:
- This study underscores the critical nature of intestinal length in neonatal survival.
- It emphasizes the risk of central venous catheter-associated sepsis in neonates.
- Findings inform clinical practice regarding the management of neonates with short bowel syndrome.
Abstract:
For various reasons extensive resection of the intestine had to be undertaken in five neonates. The lengths of the residual intestine were 33, 40, 49, 60 and 65 cm. Two children died of sepsis, one of pneumonia, one is still living after six years and one is still alive after four months. There is a danger that the cava catheter may give rise to sepsis.