Predicting time to full enteral nutrition in children after significant bowel resection

González-Hernández, Jessica; Prajapati, Purvi; Ogola, Gerald; Channabasappa, Nandini; Drews, Barbara B.; Piper, Hannah G.

doi:10.1016/j.jpedsurg.2017.01.038

Cited by 15 publications

(13 citation statements)

References 21 publications

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“…There are a few known factors affecting the time to full enteral intake and hence, length of hospital stay (LOH). Prior studies have shown that time to full enteral feeding is affected by type (jejunal or ileal) of JIA, remaining bowel length, 6 7 8 presence of short bowel syndrome, 9 and other cooccurring birth defects. 10 Postoperative complications are common in children with JIA at least one in five experiences a complication requiring an operative intervention.…”

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confidence: 99%

Predictive Factors for Postoperative Outcome in Children with Jejunoileal Atresia

Jarkman

Salö

2019

Surg J

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Background Jejunoileal atresia is a relatively rare congenital gastrointestinal requiring surgery and long postoperative care. The postoperative outcome is affected by many factors and this study focuses on finding predictors for time to full enteral feeding, length of hospital stay (LOH), and postoperative complications. Methods This was a retrospective study of all children operated for isolated jejunoileal atresia between 2001 and 2017 at a tertiary center of pediatric surgery. Independent variables regarding demographical-, operative-, and postoperative data were abstracted. Primary outcome was time to full enteral feeding, LOH, and postoperative complications in terms of reoperation or central line complication. Any significant variables from the univariate analysis were further analyzed with logistic regression and presented as odds ratio with 95% confidence interval. Results After exclusion because of concomitant gastroschisis (n = 1), and death before discharge (n = 2), 47 patients were further analyzed (49% boys, 53% premature). No significant differences could be seen in the univariate analysis between children with short and long time (median > 17 days) to full enteral nutrition. Patients with longer LOH (median >32 days) had significantly lower birth weight compared with those with shorter LOH; median 2,550 g versus 2,980 g (p = 0.04). Patients with a central line complication had significantly longer median time to full enteral feeding (median 27 vs. 12 days, p = 0.03), and significantly longer median LOH (median 43 vs. 21 days, p = 0.03), but these parameters were not significant in a multivariate analysis. No significant results were found regarding reoperation. Conclusion Low birth weight seems associated with an increased LOH in children operated on for jejunoileal atresia, and central line complications seem related to the duration with central line in this group. The small cohort may constitute a power problem in this study and further research regarding the included variables may reveal more potential predictors for the postoperative outcome.

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confidence: 99%

Predictive Factors for Postoperative Outcome in Children with Jejunoileal Atresia

Jarkman

Salö

2019

Surg J

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“…CRBSI rate is considered a parameter determining the quality of care, efficacy of parent training program and, more importantly, a limiting factor of PN in chronic IF [13,20,39,40]. …”

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confidence: 99%

Paediatric Home Parenteral Nutrition in the Czech Republic and Its Development: Multicentre Retrospective Study 1995-2011

Stýblová¹,

Kalousová

Adamcová³

et al. 2017

Ann Nutr Metab

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Background: Treatment quality and outcomes of paediatric home parenteral nutrition (HPN) program during its development in the Czech Republic. Methods: A retrospective study of patients receiving HPN from May 1995 till June 2011. Results: Sixty-six patients were treated in 8 centres. In 48 patients, long-term PN began in the first year of life and in 35 of them in the first month. Sixty children had gastrointestinal and 6 had non-gastrointestinal disease. In a majority of the patients, the Broviac catheter was used. Thirty-two (48.5%) patients were weaned from PN after 1-117 months, 21 (32.8%) continued on HPN after 7-183 months, and 13 (19.7%) patients died, all on PN. The mortality in patients with primary gastrointestinal disease was significantly lower than in patients with non-gastrointestinal disease. Thirty-one paediatric patients were receiving HPN for 14,480 catheter days in 2009-2010. Fourteen patients had 23 Catheter Related Blood Stream Infections (CRBSI) episodes. The incidence of CRBSI in 2009-2010 was 1.58/1,000 catheter days. Conclusion: Submitted data showed that even in the absence of expert centres, patient care may achieve results comparable to countries with well-developed HPN program. A majority of Czech HPN patients are at present treated in specialized centres, following the most desirable pattern of care.

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“…Дефіцит довжини тонкої кишки додатково збільшується після проведення резекції її атрезованих відділів, що підвищує ризик розвитку синдрому короткої кишки [3,5]. Після перенесених операцій такі пацієнти довготривало залишаються залежними від парентерального харчування, оскільки залишкова довжина тонкої кишки є головним предиктором тривалості часу до досягнення повної ентеральної автономії [3,6,11,13]. Довготривала залежність від парентерального харчування призводить до розвитку асоційованого з інтестинальними розладами захворювання печінки, яке маніфестує з холестазу, гепатостеатозу, фіброзу і може призводити до цирозу та незворотних змін у паренхімі цього органу [2,3].…”

Section: дискусіяunclassified

“…Проведено поздовжню звужувальну єюнопластику, на довжину 10,0 см, що дозволило уникнути її резекції та зменшити діаметр до 1,0 см (рис. 5,6). Створено еюно-ілеоанастомоз «кінець до кінця» між звуженою привідною єюнум та відвідною кишкою (рис.…”

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Organ-preserving principles of reconstructive surgery for type IV intestinal atresia in newborns

Sliepov¹,

Migur²,

Ponomarenko³

2020

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Органозберігаючі принципи реконструктивних оперативних втручань при атрезії тонкої кишки ІV типу у новонароджених дітей ДУ «Інститут педіатрії, акушерства і гінекології імені академіка О.М. Лук'янової Національної академії медичних наук України», м. Київ Paediatric surgery.Ukraine͘ϮϬϮϬ͘ϭΈϲϲΉ͗ϮϭͳϮϲ͖ K/ ϭϬ͘ϭϱϱϳϰͬW^͘ϮϬϮϬ͘ϲϲ͘Ϯϭ &Žƌ ĐŝƚĂƚŝŽŶ͗ ^ůŝĞƉŽ| K͕ DŝŐƵƌ D͕ WŽŶŽŵĂƌĞŶŬŽ K͘ ;ϮϬϮϬͿ͘ KƌŐĂŶͲƉƌĞƐĞƌ|ŝŶŐ ƉƌŝŶĐŝƉůĞƐ ŽĨ ƌĞĐŽŶƐƚƌƵĐƚŝ|Ğ ƐƵƌŐĞƌǇ ĨŽƌ ƚǇƉĞ /s ŝŶƚĞƐƚŝŶĂů ĂƚƌĞƐŝĂ ŝŶ ŶĞǁďŽƌŶƐ͘ WĂĞĚŝĂƚƌŝĐ ƐƵƌŐĞƌǇ͘hŬƌĂŝŶĞ͘ϮϬϮϬ͘ϭ;ϲϲͿ͗ϮϭͲϮϲ͖ ĚŽŝ ϭϬ͘ϭϱϱϳϰͬW^͘ϮϬϮϬ͘ϲϲ͘Ϯϭ

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Predicting time to full enteral nutrition in children after significant bowel resection

Cited by 15 publications

References 21 publications

Predictive Factors for Postoperative Outcome in Children with Jejunoileal Atresia

Predictive Factors for Postoperative Outcome in Children with Jejunoileal Atresia

Paediatric Home Parenteral Nutrition in the Czech Republic and Its Development: Multicentre Retrospective Study 1995-2011

Organ-preserving principles of reconstructive surgery for type IV intestinal atresia in newborns

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