Tags

Type your tag names separated by a space and hit enter

Preserving bowel length with a transluminal stent in neonates with multiple intestinal anastomoses: a case series and review of the literature.
J Pediatr Surg. 2011 Jul; 46(7):1368-72.JP

Abstract

BACKGROUND/PURPOSE

In neonatal surgery, preserving small bowel length is important to avoid short bowel syndrome. Our aim was to assess the outcomes of intraluminal stenting of neonatal multiple intestinal anastomoses.

METHODS

We conducted a retrospective review of 9 patients (5, single institution; 4, published literature) who received multiple anastomoses stented by a silicon tube. Demographics, surgical anatomy and complications, nutritional outcomes, and follow-up were reviewed.

RESULTS

Diagnosis was multiple intestinal atresias in 8 patients and necrotizing enterocolitis in 1. A silicon catheter entered either the mucous fistula (5 patients received a jejunostomy/mucous fistula) or a proximal opening on the dilated bowel and was threaded through viable segments of the bowel. The bowel ends were approximated. Stent was externalized in 7 patients. Final mean small bowel length was 63.9 cm. All complications (3 patients, leak/stricture) required surgery. Mean time to stent removal, feeds initiation, and parenteral nutrition (PN) discontinuation was 31.2 days, 17.3 days, and 159 days, respectively. Only 1 patient remains on PN (mean follow-up, 25.4 months).

CONCLUSIONS

Multiple intestinal anastomoses stenting is an excellent technique to avoid short bowel syndrome in the setting of multiple viable segments of gut, such as type IV intestinal atresia or necrotizing enterocolitis. Both our experience and the published literature show no mortality and PN-free survival.

Authors+Show Affiliations

Division of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

21763836

Citation

Romão, Rodrigo L P., et al. "Preserving Bowel Length With a Transluminal Stent in Neonates With Multiple Intestinal Anastomoses: a Case Series and Review of the Literature." Journal of Pediatric Surgery, vol. 46, no. 7, 2011, pp. 1368-72.
Romão RL, Ozgediz D, de Silva N, et al. Preserving bowel length with a transluminal stent in neonates with multiple intestinal anastomoses: a case series and review of the literature. J Pediatr Surg. 2011;46(7):1368-72.
Romão, R. L., Ozgediz, D., de Silva, N., Chiu, P., Langer, J., & Wales, P. W. (2011). Preserving bowel length with a transluminal stent in neonates with multiple intestinal anastomoses: a case series and review of the literature. Journal of Pediatric Surgery, 46(7), 1368-72. https://doi.org/10.1016/j.jpedsurg.2011.01.011
Romão RL, et al. Preserving Bowel Length With a Transluminal Stent in Neonates With Multiple Intestinal Anastomoses: a Case Series and Review of the Literature. J Pediatr Surg. 2011;46(7):1368-72. PubMed PMID: 21763836.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preserving bowel length with a transluminal stent in neonates with multiple intestinal anastomoses: a case series and review of the literature. AU - Romão,Rodrigo L P, AU - Ozgediz,Doruk, AU - de Silva,Nicole, AU - Chiu,Priscilla, AU - Langer,Jacob, AU - Wales,Paul W, PY - 2010/09/13/received PY - 2011/01/05/revised PY - 2011/01/17/accepted PY - 2011/7/19/entrez PY - 2011/7/19/pubmed PY - 2011/12/13/medline SP - 1368 EP - 72 JF - Journal of pediatric surgery JO - J Pediatr Surg VL - 46 IS - 7 N2 - BACKGROUND/PURPOSE: In neonatal surgery, preserving small bowel length is important to avoid short bowel syndrome. Our aim was to assess the outcomes of intraluminal stenting of neonatal multiple intestinal anastomoses. METHODS: We conducted a retrospective review of 9 patients (5, single institution; 4, published literature) who received multiple anastomoses stented by a silicon tube. Demographics, surgical anatomy and complications, nutritional outcomes, and follow-up were reviewed. RESULTS: Diagnosis was multiple intestinal atresias in 8 patients and necrotizing enterocolitis in 1. A silicon catheter entered either the mucous fistula (5 patients received a jejunostomy/mucous fistula) or a proximal opening on the dilated bowel and was threaded through viable segments of the bowel. The bowel ends were approximated. Stent was externalized in 7 patients. Final mean small bowel length was 63.9 cm. All complications (3 patients, leak/stricture) required surgery. Mean time to stent removal, feeds initiation, and parenteral nutrition (PN) discontinuation was 31.2 days, 17.3 days, and 159 days, respectively. Only 1 patient remains on PN (mean follow-up, 25.4 months). CONCLUSIONS: Multiple intestinal anastomoses stenting is an excellent technique to avoid short bowel syndrome in the setting of multiple viable segments of gut, such as type IV intestinal atresia or necrotizing enterocolitis. Both our experience and the published literature show no mortality and PN-free survival. SN - 1531-5037 UR - https://www.unboundmedicine.com/medline/citation/21763836/Preserving_bowel_length_with_a_transluminal_stent_in_neonates_with_multiple_intestinal_anastomoses:_a_case_series_and_review_of_the_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3468(11)00052-2 DB - PRIME DP - Unbound Medicine ER -