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Short-bowel syndrome: a collective review.
J Pediatr Surg. 1992 May; 27(5):592-6.JP

Abstract

Neonates can now be expected to survive with very short lengths of bowel because of advances in pediatric neonatal care and in parenteral and enteral nutrition. Most pediatric surgeons have only a few patients with this problem under their care, so individual experience is limited. This collective survey, carried out by postal questionnaires to pediatric surgeons in the British Association of Paediatric Surgeons in the United Kingdom with an interest in the gastrointestinal tract, documents current techniques of management, the complications encountered, and reviews the clinical and economic consequences of prolonged total parenteral nutrition. We conclude that within the limitations of resources and our understanding of prognosis, neonates, especially if less than 35 weeks' gestation, with remaining jejunoileal segment of greater than 20 cm with an intact ileocecal valve (ICV) or greater than 30 cm without an ICV, should be considered salvageable.

Authors+Show Affiliations

Department of Paediatric Surgery, Queen's Medical Centre, Nottingham, England.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Multicenter Study
Review

Language

eng

PubMed ID

1625129

Citation

Galea, M H., et al. "Short-bowel Syndrome: a Collective Review." Journal of Pediatric Surgery, vol. 27, no. 5, 1992, pp. 592-6.
Galea MH, Holliday H, Carachi R, et al. Short-bowel syndrome: a collective review. J Pediatr Surg. 1992;27(5):592-6.
Galea, M. H., Holliday, H., Carachi, R., & Kapila, L. (1992). Short-bowel syndrome: a collective review. Journal of Pediatric Surgery, 27(5), 592-6.
Galea MH, et al. Short-bowel Syndrome: a Collective Review. J Pediatr Surg. 1992;27(5):592-6. PubMed PMID: 1625129.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short-bowel syndrome: a collective review. AU - Galea,M H, AU - Holliday,H, AU - Carachi,R, AU - Kapila,L, PY - 1992/5/1/pubmed PY - 1992/5/1/medline PY - 1992/5/1/entrez SP - 592 EP - 6 JF - Journal of pediatric surgery JO - J Pediatr Surg VL - 27 IS - 5 N2 - Neonates can now be expected to survive with very short lengths of bowel because of advances in pediatric neonatal care and in parenteral and enteral nutrition. Most pediatric surgeons have only a few patients with this problem under their care, so individual experience is limited. This collective survey, carried out by postal questionnaires to pediatric surgeons in the British Association of Paediatric Surgeons in the United Kingdom with an interest in the gastrointestinal tract, documents current techniques of management, the complications encountered, and reviews the clinical and economic consequences of prolonged total parenteral nutrition. We conclude that within the limitations of resources and our understanding of prognosis, neonates, especially if less than 35 weeks' gestation, with remaining jejunoileal segment of greater than 20 cm with an intact ileocecal valve (ICV) or greater than 30 cm without an ICV, should be considered salvageable. SN - 0022-3468 UR - https://www.unboundmedicine.com/medline/citation/1625129/Short_bowel_syndrome:_a_collective_review_ L2 - https://linkinghub.elsevier.com/retrieve/pii/0022-3468(92)90455-G DB - PRIME DP - Unbound Medicine ER -