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Morbidity and mortality of short bowel syndrome in infancy and childhood.
Eur J Pediatr Surg. 1991 Oct; 1(5):273-6.EJ

Abstract

This report concerns 59 infants and children with short bowel syndrome, most commonly caused by necrotizing enterocolitis in this study. Resection of atretic or gangrenous bowel was performed in 53 patients, tapering enteroplasty and primary anastomosis was performed in 13 patients, and temporary enterostomies were performed in 40 patients. Second-look laparotomy was useful in two of four cases of questionable bowel viability. The ileocecal valve was resected in 32 patients and remained intact in 27. The mean length of the remaining bowel was 58.4 cm. All patients received total parenteral nutrition and early enteral feedings. Home hyperalimentation was attempted when 50 per cent of the calorie intake was enteral. Intestinal adaptation required from 3 to 14 months. Frequent setbacks were related to catheter sepsis, rotavirus infection, carbohydrate intolerance, and liver dysfunction. The overall survival rate was 80 per cent with mortality due to sepsis associated with total parenteral nutrition and liver failure.

Authors+Show Affiliations

Pediatric Surgical Clinic, Aristotelian University, Thessaloniki, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1747358

Citation

Anagnostopoulos, D, et al. "Morbidity and Mortality of Short Bowel Syndrome in Infancy and Childhood." European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Fur Kinderchirurgie, vol. 1, no. 5, 1991, pp. 273-6.
Anagnostopoulos D, Valioulis J, Sfougaris D, et al. Morbidity and mortality of short bowel syndrome in infancy and childhood. Eur J Pediatr Surg. 1991;1(5):273-6.
Anagnostopoulos, D., Valioulis, J., Sfougaris, D., Maliaropoulos, N., & Spyridakis, J. (1991). Morbidity and mortality of short bowel syndrome in infancy and childhood. European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Fur Kinderchirurgie, 1(5), 273-6.
Anagnostopoulos D, et al. Morbidity and Mortality of Short Bowel Syndrome in Infancy and Childhood. Eur J Pediatr Surg. 1991;1(5):273-6. PubMed PMID: 1747358.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Morbidity and mortality of short bowel syndrome in infancy and childhood. AU - Anagnostopoulos,D, AU - Valioulis,J, AU - Sfougaris,D, AU - Maliaropoulos,N, AU - Spyridakis,J, PY - 1991/10/1/pubmed PY - 1991/10/1/medline PY - 1991/10/1/entrez SP - 273 EP - 6 JF - European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie JO - Eur J Pediatr Surg VL - 1 IS - 5 N2 - This report concerns 59 infants and children with short bowel syndrome, most commonly caused by necrotizing enterocolitis in this study. Resection of atretic or gangrenous bowel was performed in 53 patients, tapering enteroplasty and primary anastomosis was performed in 13 patients, and temporary enterostomies were performed in 40 patients. Second-look laparotomy was useful in two of four cases of questionable bowel viability. The ileocecal valve was resected in 32 patients and remained intact in 27. The mean length of the remaining bowel was 58.4 cm. All patients received total parenteral nutrition and early enteral feedings. Home hyperalimentation was attempted when 50 per cent of the calorie intake was enteral. Intestinal adaptation required from 3 to 14 months. Frequent setbacks were related to catheter sepsis, rotavirus infection, carbohydrate intolerance, and liver dysfunction. The overall survival rate was 80 per cent with mortality due to sepsis associated with total parenteral nutrition and liver failure. SN - 0939-7248 UR - https://www.unboundmedicine.com/medline/citation/1747358/Morbidity_and_mortality_of_short_bowel_syndrome_in_infancy_and_childhood_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2008-1042504 DB - PRIME DP - Unbound Medicine ER -