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Long-term results following extensive small intestinal resection in the neonatal period.
Prog Pediatr Surg. 1977; 10:65-75.PP

Abstract

At Alder Hey Children's Hospital in Liverpool there have been 8 children who survived long-segment intestinal resection in the neonatal period for more than 10 years, and there has been one further case at the University Children's Hospital in Zürich. The total of 9 children who were left with residual lengths of small intestine of between 26 and 75 cm form the basis of this report. Seven of these children have been personally followed up. One patient, although apparently perfectly well, is now an adult, has left home and refused to be re-examined. One child has been followed up by another paediatrician. In general it can be said that, provided these children are treated with care postoperatively over a period which may extend for many months or even a few years, the ultimate prognosis is extremely good. These children will grow up perfectly normally and will have no absorption difficulties. If the child is left with less than 30 cm of small intestine, the initial treatment becomes very difficult, but with adequate management even these infants can finally grow up into perfectly normal children with little or no absorption difficulties. The critical length of intestine lies in the neighbourhood of 20 cm. Correct initial treatment is all important and the one case in this series where this was not carried out is the only child who has still considerable difficulties. In some of the children under discussion, a hemicolectomy was performed as well as the small intestinal resection. This does not seem to have made much difference to the ultimate satisfactory outcome.

Authors

Rickham PP
No affiliation info available
Irving I
No affiliation info available
Shmerling DH
No affiliation info available

MeSH

AdolescentBody HeightBody WeightFollow-Up StudiesHumansInfant, NewbornInfant, Newborn, DiseasesIntestinal AbsorptionIntestinal DiseasesIntestine, SmallLong-Term CarePostoperative CarePostoperative Complications

Pub Type(s)

Journal Article

Language

eng

PubMed ID

405714

Citation

Rickham, P P., et al. "Long-term Results Following Extensive Small Intestinal Resection in the Neonatal Period." Progress in Pediatric Surgery, vol. 10, 1977, pp. 65-75.
Rickham PP, Irving I, Shmerling DH. Long-term results following extensive small intestinal resection in the neonatal period. Prog Pediatr Surg. 1977;10:65-75.
Rickham, P. P., Irving, I., & Shmerling, D. H. (1977). Long-term results following extensive small intestinal resection in the neonatal period. Progress in Pediatric Surgery, 10, 65-75.
Rickham PP, Irving I, Shmerling DH. Long-term Results Following Extensive Small Intestinal Resection in the Neonatal Period. Prog Pediatr Surg. 1977;10:65-75. PubMed PMID: 405714.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term results following extensive small intestinal resection in the neonatal period. AU - Rickham,P P, AU - Irving,I, AU - Shmerling,D H, PY - 1977/1/1/pubmed PY - 1977/1/1/medline PY - 1977/1/1/entrez SP - 65 EP - 75 JF - Progress in pediatric surgery JO - Prog Pediatr Surg VL - 10 N2 - At Alder Hey Children's Hospital in Liverpool there have been 8 children who survived long-segment intestinal resection in the neonatal period for more than 10 years, and there has been one further case at the University Children's Hospital in Zürich. The total of 9 children who were left with residual lengths of small intestine of between 26 and 75 cm form the basis of this report. Seven of these children have been personally followed up. One patient, although apparently perfectly well, is now an adult, has left home and refused to be re-examined. One child has been followed up by another paediatrician. In general it can be said that, provided these children are treated with care postoperatively over a period which may extend for many months or even a few years, the ultimate prognosis is extremely good. These children will grow up perfectly normally and will have no absorption difficulties. If the child is left with less than 30 cm of small intestine, the initial treatment becomes very difficult, but with adequate management even these infants can finally grow up into perfectly normal children with little or no absorption difficulties. The critical length of intestine lies in the neighbourhood of 20 cm. Correct initial treatment is all important and the one case in this series where this was not carried out is the only child who has still considerable difficulties. In some of the children under discussion, a hemicolectomy was performed as well as the small intestinal resection. This does not seem to have made much difference to the ultimate satisfactory outcome. SN - 0079-6654 UR - https://www.unboundmedicine.com/medline/citation/405714/Long_term_results_following_extensive_small_intestinal_resection_in_the_neonatal_period_ L2 - https://medlineplus.gov/commoninfantandnewbornproblems.html DB - PRIME DP - Unbound Medicine ER -