The role of small intestine length in the development of short bowel syndrome

Khasanov, R. R.; Гумеров, А. А.; Вессель, Л М

doi:10.17116/hirurgia2017163-67

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…Вместе с тем, вследствие нарушения непрерывности и выключения из пищеварительной функции части кишечника развиваются осложнения, представляющие серьезную угрозу для пациента. Чем проксимальнее локализован резецированный участок кишки, тем выше вероятность обменных нарушений, короче период до их декомпенсации [18,19]. Подобные осложнения обусловлены группой патогенетически взаимосвязанных факторов и носят генерализованный и местный характер.…”

Section: Review Of Literatureunclassified

Surgery Techniques for Urgent Intestinal Neostomy and Bypass

Sizov

Александрович²,

Romanov

et al. 2020

VECS

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Introduction. Modern standards for the treatment of acute abdominal surgical diseases suggest a temporary exclusion of the impaired intestinal part from the digestion. This reduces the morbidity of the primary operation, but also results in specific postoperative complications.The aim of the study was to analyze current data on the technique and effectiveness of urgent intestinal neostomy and bypass surgery.Results. The authors analyzed 39 modern literature sources that deal with the problem of urgent intestinal neostomy and bypass surgery. Currently, there is a growing interest in developing techniques for early (before anastomosis) restoration of the chyme passage across the intestine bypassing the impaired intestinal area. It has been reported that a number of unresolved issues do not yet allow full implementation of the concept of intestinal bypass (shunt): a safe mechanism for performing an anastomosis between the small intestine and a synthetic prosthesis has not been developed, the problem of creating unidirectional pathway along a non-peristaltic intestinal prosthesis has not been solved.Conclusion. Solution of these problems can contribute to a significant improvement in the clinical outcomes of patients with acute ischemic or traumatic damage to the intestine.

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Section: Review Of Literatureunclassified

Surgery Techniques for Urgent Intestinal Neostomy and Bypass

Sizov

Александрович²,

Romanov

et al. 2020

VECS

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Organizational and clinical potential of the Federal Register of children with short bowel syndrome

Rozinov

Ampar

Samorokovskaya

et al. 2022

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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BACKGROUND: Short bowel syndrome is a medical and social problem characterized by high mortality and disability rates, controversial tactics, resource-intensive therapy, and lack of legal support. In 2016, the Russian Association of Pediatric Surgeons initiated the creation of the Federal Register of Children with Short Bowel Syndrome. AIM: This study conducts an audit of the Register to identify the prevalence of the pathological syndrome, establish the causes of its formation and trends in transforming the therapeutic paradigm, determine the pattern, nature, and frequency of various complications, establish factors limiting its informativeness involving representatives of implementors and users, and justify changes increasing database organization and clinical significance. MATERIALS AND METHODS: The Register has 334 patients registered. Of these, 23 children died, and five were removed from the Register at 18. The Quinta software package was used to collect, process, and manage geographically distributed data with information about patients data, identification of medical organizations, diagnosis, the content of therapeutic measures, and the structure of complications. RESULTS: The Register contains data on patients from 71 regions of Russia. Bowel resections prevailed among the initial interventions due to necrotizing enterocolitis (18.0%) and intestinal atresia (17.4%). Reconstructive interventions (125), including serial transverse enteroplasty and spiral intestinal lengthening and tailoring techniques, were implemented in 37 and 24 cases. One hundred and eighty patients needed parenteral nutrition: 18 patients required total parenteral nutrition, and 162 patients needed partial parenteral nutrition. Enteral feeding was used in 193 cases, meeting the needs of 31 children and supplementing parenteral therapy for 162 children. The structural flaw of the Register is the absence of a section on palliative care. CONCLUSIONS: The identified limitations of the Register indicate the need to improve the provided primary information, form a platform for supporting medical decisions, create a palliative care unit, and integrate with state health development programs.

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Regional experience in the treatment of children with short bowel syndrome

Камалова

Подшивалин²,

Sageeva³

et al. 2022

Ross. vestn. perinatol. pediatr.

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Short bowel syndrome is a rare, chronic, debilitating, and potentially life-threatening condition in which loss of intestinal absorption capacity deprives children of the ability to absorb sufficient nutrients from the food they consumed. The authors describe regional experience of treating children with short bowel syndrome, which includes conservative and surgical approach, with an analysis of the leading causes, prognostic factors, timing of achieving intestinal autonomy, complications and catamnesis.Purpose. The study aims at analyzing cases of short bowel syndrome in children in order to improve the provision of medical care for children in the Republic of Tatarstan and the nearest regions.Material and methods. Single-center, retrospective study was conducted of 22 cases of children with short bowel syndrome who received treatment in the surgical department for young children in the State Autonomous Healthcare Institution Children’s Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan for the period September 2014 till November 2021.Results. The most common cause of intestinal resection in the study group were: congenital malformations in 7 children (32%), necrotizing enterocolitis in 5 children (23%), small intestine malrotation (Ladd’s bands) in 4 children (18%), mesenteric thrombosis in 4 (18%), Hirschsprung’s disease in 2 children (9%). By the end of the first year after diagnosis, intestine self-regulation was achieved in 17 children. The mortality rate was 9%.

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The role of small intestine length in the development of short bowel syndrome

Abstract: It is required to perform further studies with greater amount of patients to discover exact small bowel length which is associated with SBS and other factors affecting small bowel state.

Cited by 3 publications

References 11 publications

Surgery Techniques for Urgent Intestinal Neostomy and Bypass

Surgery Techniques for Urgent Intestinal Neostomy and Bypass

Organizational and clinical potential of the Federal Register of children with short bowel syndrome

Regional experience in the treatment of children with short bowel syndrome

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