Growth and nutritional aspects of infantile short bowel syndrome for the past 2 decades

Olieman, Joanne; Tibboel, Dick; Penning, Corine

doi:10.1016/j.jpedsurg.2008.04.017

Cited by 27 publications

(30 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We concluded that there was still room for improvement, notably with regard to stimulating early nutritional intake [6]. Comparison cannot be extended, however, to present case series, as these 10 patients have much shorter bowel lengths than the ones in decade 1990 (median, 28 cm [0-100 cm (range)] versus 74 cm [30-120 cm (range)]).…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Interdisciplinary management of infantile short bowel syndrome: resource consumption, growth, and nutrition

Olieman

Poley

Gischler

et al. 2010

Journal of Pediatric Surgery

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 90%

“…Survival rates of patients with short bowel syndrome (SBS) have much improved over the years and ranged from 53% to 94% in the past decade [1][2][3][4][5][6]. Major predictors of mortality in pediatric SBS are parenteral nutrition (PN)-associated cholestasis and age-adjusted small bowel length.…”

mentioning

confidence: 99%

Interdisciplinary management of infantile short bowel syndrome: resource consumption, growth, and nutrition

Olieman

Poley

Gischler

et al. 2010

Journal of Pediatric Surgery

Self Cite

View full text Add to dashboard Cite

“…Factors that could affect this specific feature of human milk could be both the hormone content and the presence of epidermal growth factor as well as other growth factors that are as yet not completely understood. [18][19][20][21][22][23][24] Anyway, it still remains to be determined whether these adaptations are limited to mucosal hyperplasia or lead to an actual lengthening of the residual intestine. [25][26][27] The radiographic studies we performed sixteen years after intestine resection proved a lengthening of the residual small intestine, 40 cm long, but, unfortunately, the patient refused to undergo a capsule endoscopy, a possibility to obtain a direct evidence of the mucosal morphology.…”

Section: Discussionmentioning

confidence: 99%

Clinical case and short review of extreme short bowel syndrome: an update 21 years after

et al. 2016

View full text Add to dashboard Cite

Short bowel syndrome refers to the malabsorptive state caused by loss of significant portions of the small intestine, whose clinical framework is characterized by malnutrition, diarrhea, dehydration, weight loss, and low-weight-related symptoms/signs. These clinical conditions seem to be related to the length of resection. Twenty-one years ago we reported the clinical case of an infant, who underwent a massive resection of the loops of the small intestine, of the cecum and of part of the ascending colon, due to intestinal malrotation with volvulus. The residual small intestine measured just 11 cm and consisted of the duodenum and a small part of jejunum, in the absence of the ileocecal valve, configuring the case of a ultra-short bowel syndrome. In this report, we update the case, reporting the patient succeeded to obtain a good weight gain and to conduct a quite normal lifestyle, despite the long-term consequences of such resection.

show abstract

“…Other important causes of intestinal function failure with difficult clinical treatment refer to intestinal neuronal dysplasia and all other forms of chronic intestinal pseudo-obstruction. 1 This review will discuss the current aspects of short bowel syndrome (SBS). In 2004, a Dutch national committee composed of pediatricians, gastroenterologists and pediatric surgeons reached a consensus for the definition of SBS: resection of more than 70% of the small intestine and/or need for parenteral nutrition for more than 42 days after intestinal resection and/or remaining length of the small intestine from the angle of Treitz of less than 50 cm for premature infants, less than 75 cm for term newborns and less than 100 cm for a 1 year old child.…”

Section: Introductionmentioning

confidence: 99%

Treatment of short bowel syndrome in children. Value of the Intestinal Rehabilitation Program

Tannuri

Barros

Tannuri

2016

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

The main cause of acute intestinal failure is short bowel syndrome, generally as a result of resection of extensive segments of small intestine. As a result, the main symptoms are watery diarrhea, malabsorption syndrome, chronic malnutrition, and death, if the patient is not properly treated. If the length of the remaining intestine is greater than 30 cm, complete adaptation is possible and the patient may not require parenteral nutrition. The currently recommended treatment includes the use of prolonged parenteral nutrition and enteral nutrition, always aimed at constant weight gain, in conjunction with surgeries aimed at elongating the dilated bowel. This set of procedures constitutes what is called an Intestinal Rehabilitation Program. This therapy was used in 16 children in periods ranging from 8 months to 7.5 years, with survival in 75% of the cases. Finally, the last resort to be used in children with complete resection of the small bowel is an intestinal transplant. However, to date there is no record of a Brazilian child that has survived this procedure, despite it being attempted in seven patients. We conclude that the results of the intestinal rehabilitation program are encouraging for the continuation of this type of treatment and stimulate the creation of the program in other pediatric care institutions.

show abstract

Growth and nutritional aspects of infantile short bowel syndrome for the past 2 decades

Cited by 27 publications

References 34 publications

Interdisciplinary management of infantile short bowel syndrome: resource consumption, growth, and nutrition

Interdisciplinary management of infantile short bowel syndrome: resource consumption, growth, and nutrition

Clinical case and short review of extreme short bowel syndrome: an update 21 years after

Treatment of short bowel syndrome in children. Value of the Intestinal Rehabilitation Program

Contact Info

Product

Resources

About