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Massive small bowel resection in neonates--is weaning from parenteral nutrition the final goal?
Surg Today. 1992; 22(1):40-5.ST

Abstract

Eight surviving cases from an original 15 pediatric patients who underwent massive small bowel resection during their neonatal period were reviewed for a period of 2-19 years to assess long-term prognosis. the primary diseases were congenital intestinal atresia in 6 cases and midgut volvulus in 2. The length of the residual small intestine ranged from 27-75 cm and the ileocaecal valve had been resected in 3 cases. All cases were able to be weaned from parenteral nutrition and at present, 6 of the children can tolerate normal meals but 2 are still receiving enteral nutrition, in the form of a low residue diet at home. Near normal somatic growth was achieved in the most recent 5 cases who received intensive nutritional treatment in the immediate postoperative period, whereas 3 who did not receive nutritional management exhibited growth retardation. The D-Xylose absorption test revealed gradual improvement and finally normal absorption in all except one case with the shortest remaining intestine (27 cm). However, the fat absorption test revealed abnormal absorption in cases with a residual intestine of less than 45 cm. Late metabolic complications such as renal calculi, cholelithiasis and pathologic fractures were encountered in 3 cases.

Authors+Show Affiliations

Department of Pediatric Surgery, Osaka University Medical School, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1547374

Citation

Matsuo, Y, et al. "Massive Small Bowel Resection in Neonates--is Weaning From Parenteral Nutrition the Final Goal?" Surgery Today, vol. 22, no. 1, 1992, pp. 40-5.
Matsuo Y, Nezu R, Kubota A, et al. Massive small bowel resection in neonates--is weaning from parenteral nutrition the final goal? Surg Today. 1992;22(1):40-5.
Matsuo, Y., Nezu, R., Kubota, A., Fukuzawa, M., Imura, K., Kamata, S., Takagi, Y., & Okada, A. (1992). Massive small bowel resection in neonates--is weaning from parenteral nutrition the final goal? Surgery Today, 22(1), 40-5.
Matsuo Y, et al. Massive Small Bowel Resection in Neonates--is Weaning From Parenteral Nutrition the Final Goal. Surg Today. 1992;22(1):40-5. PubMed PMID: 1547374.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Massive small bowel resection in neonates--is weaning from parenteral nutrition the final goal? AU - Matsuo,Y, AU - Nezu,R, AU - Kubota,A, AU - Fukuzawa,M, AU - Imura,K, AU - Kamata,S, AU - Takagi,Y, AU - Okada,A, PY - 1992/1/1/pubmed PY - 1992/1/1/medline PY - 1992/1/1/entrez SP - 40 EP - 5 JF - Surgery today JO - Surg Today VL - 22 IS - 1 N2 - Eight surviving cases from an original 15 pediatric patients who underwent massive small bowel resection during their neonatal period were reviewed for a period of 2-19 years to assess long-term prognosis. the primary diseases were congenital intestinal atresia in 6 cases and midgut volvulus in 2. The length of the residual small intestine ranged from 27-75 cm and the ileocaecal valve had been resected in 3 cases. All cases were able to be weaned from parenteral nutrition and at present, 6 of the children can tolerate normal meals but 2 are still receiving enteral nutrition, in the form of a low residue diet at home. Near normal somatic growth was achieved in the most recent 5 cases who received intensive nutritional treatment in the immediate postoperative period, whereas 3 who did not receive nutritional management exhibited growth retardation. The D-Xylose absorption test revealed gradual improvement and finally normal absorption in all except one case with the shortest remaining intestine (27 cm). However, the fat absorption test revealed abnormal absorption in cases with a residual intestine of less than 45 cm. Late metabolic complications such as renal calculi, cholelithiasis and pathologic fractures were encountered in 3 cases. SN - 0941-1291 UR - https://www.unboundmedicine.com/medline/citation/1547374/Massive_small_bowel_resection_in_neonates__is_weaning_from_parenteral_nutrition_the_final_goal DB - PRIME DP - Unbound Medicine ER -