Nutritional and other postoperative management of neonates with short bowel syndrome correlates with clinical outcomes

Andorsky, David; Lund, Dennis P.; Lillehei, C. Walton; Jaksic, Tom; DiCanzio, James; Richardson, Denise; Collier, Sharon; Lo, Clifford; Duggan, Christopher

doi:10.1067/mpd.2001.114481

Cited by 404 publications

(311 citation statements)

References 44 publications

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“…Furthermore, they noted that the use of maternal breastmilk was the factor that showed the greatest correlation with the period of parenteral nutrition. 44 In this series there was no relation between maintenance of the ileocecal valve and the duration of parenteral nutrition, which some other studies have found to be significant. 45,46 Early institution of enteral feeding appears to exercise a series of benefits on these patients recovery, in particular when maternal breastmilk was used as a result of the immunological factors and EGF it contains.…”

Section: Parenteral and Enteral Nutritionmentioning

confidence: 55%

“…45,46 Early institution of enteral feeding appears to exercise a series of benefits on these patients recovery, in particular when maternal breastmilk was used as a result of the immunological factors and EGF it contains. 24,44 Thus, Bohnhorst et al studied the postoperative progress of children with NEC at Bell stages II and III who had been subjected to intestinal resection taking into consideration the differences resulting from the time of reintroduction of enteral feeding with formulae. 47 Group 1, composed of 26 children, were reintroduced to feeding in an average of 4 days (3-14 days) and in group 2, composed of 18 children, the average time before reintroducing feeding was 10 days (8-22 days).…”

Section: Parenteral and Enteral Nutritionmentioning

confidence: 99%

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Avanços em enterocolite necrosante

Oliveira¹,

Miyoshi²

2005

J. Pediatr. (Rio J.)

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Suggested citation: de Oliveira ND, Miyoshi MH. Advances in necrotizing enterocolitis. J Pediatr (Rio J). 2005;81(1 Suppl):S16-S22. AbstractObjective: To evaluate recently reported findings on necrotizing enterocolitis, paying particular attention to pathogenesis, management and preventative strategies.Data sources: The articles covered in this report consist of randomized and quasi-randomized trials, case control studies, meta-analyses and reviews published recently. Certain other articles were also included because of their utmost importance to the subject.Results: Necrotizing enterocolitis remains a major cause of morbidity and mortality in preterm infants. Those who are born with intra-uterine-growth retardation are at a several-fold increased risk. Possible pathophysiologic processes beginning in utero and continuing after birth are discussed in this review. Other factors involved in the process are related to the role of arginine and the production of intestinal nitric oxide and the action of epidermal growth factor in the regulation of cell regeneration. Perforated necrotizing enterocolitis is a complex surgical problem; definitive evidence-based guidelines for the best approach are yet to be determined. After surgery, although residual small bowel length and the presence of the ileo-cecal valve remain important predictors of duration of parenteral nutrition in infants, other factors, such as the early use of breast milk or amino acid-based formula, may also play a role in intestinal re-adaptation. Prevention strategies have centered on feeding practices and emerging experiments such as amino acid supplementation, are also discussed. Conclusion:Significant results in terms of mortality and morbidity will be achieved through better understanding of necrotizing enterocolitis pathogenesis and clinical and surgical management in addition to the employment of preventative strategies.J Pediatr (Rio J). 2005;81(1 Suppl):S16-S22: Necrotizing enterocolitis, prematurity, short bowel syndrome.

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Section: Parenteral and Enteral Nutritionmentioning

confidence: 55%

Section: Parenteral and Enteral Nutritionmentioning

confidence: 99%

Avanços em enterocolite necrosante

Oliveira¹,

Miyoshi²

2005

J. Pediatr. (Rio J.)

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“…A more proximal jejunostomy, as performed in the current patients, may be advantageous for the control of enteritis and intraluminal stasis, but may lead to poor absorptive activity. 16,17 In cases 4 and 5, who had a 30-to 35-cm jejunal segment myectomized, body weight and height both remain between the 5th and 95th percentile of the standardized curve (Fig 2). However, they can receive only 20% to 60% of their calories by oral feeding, and the parenteral nutrition support has not been discontinued.…”

Section: Discussionmentioning

confidence: 99%

Proximal jejunostomy with or without myectomy-myotomy modification in five infants with total intestinal aganglionosis: An experience with surgical treatments in a single institution

Shimotake

Tomiyama

et al. 2002

Journal of Pediatric Surgery

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“…Serum Citrullin düzeyi bağırsak mukozal kitlesinin dolayısıyla bağırsak uzunluğunun da önemli bir belirtecidir. Bir çalışmada, serum Citrullin düzeyinin >15 mikromol/L olması TPN'den ayrılabilmenin önemli belirteçlerinden olduğu gösterilmiştir (27) . Diğer ça-lışmalarda <12 mmol/L ise TPN den ayrılamamanın önemli belirteci olarak gösterilmiştir.…”

Section: -Cerrahi Tedavilerunclassified

Intestinal Failure/Nontransplant surgical interventions for short bowel syndrome

Çelik¹

2017

tcdd

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Öz GirişBağırsak sisteminin bireyin besin alımı ve sıvı dengesini sağlamada yetersiz kaldığı durumlara bağırsak yetmezliği adı verilmektedir. Bağırsak uzunluğunun azaldığı, ileoçekal valvin olmadığı, kolonun kaybedildiği gibi uzunluk kayıpları veya mukozal yetmezlik, dismotilite veya aktif enterit gibi besin emiliminin mümkün olmadığı durumlarda birey kalıcı veya uzun süreli total parenteral beslenmeye mecbur kalabilmektedir (1) . "Büyüme için gerekli sıvı ve besinlerin sindirimi ve emilimi için yeterli miktarda fonksiyonel bağırsak kalmaması" pediatrik bağırsak yetmezliğinin modern tanımlamasıdır. Bir başka tanımda ise, büyüme, hidrasyon ve elektrolit homeostazının bozulmasına neden olan bağırsak hastalığı olarak genellenebilmektedir.

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Nutritional and other postoperative management of neonates with short bowel syndrome correlates with clinical outcomes

Cited by 404 publications

References 44 publications

Avanços em enterocolite necrosante

Avanços em enterocolite necrosante

Proximal jejunostomy with or without myectomy-myotomy modification in five infants with total intestinal aganglionosis: An experience with surgical treatments in a single institution

Intestinal Failure/Nontransplant surgical interventions for short bowel syndrome

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