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The Bianchi procedure in a patient with jejunal atresia.
Eur J Pediatr Surg. 1997 Dec; 7(6):361-3.EJ

Abstract

While small-bowel transplantation remains an option for the management of short-bowel syndrome (SBS), every effort must be made to optimize the function of the native bowel. This report describes a patient with SBS who dramatically improved after a Bianchi procedure. The patient was born with type IIIb jejunal atresia, complicated by volvulus of the terminal ileum. He was left with 40 cm of small bowel and his ileocecal valve. During the first 20 months of his life, he was always hospitalized except for 3 months. He was on parenteral nutrition (TPN) and suffered multiple episodes of central line sepsis. Massive small-bowel dilatation caused a functional bowel obstruction with bacterial overgrowth, and villous atrophy of the jejunal mucosa was discovered on biopsies done by colonoscopy. In March 1994, we elected to proceed with a Bianchi procedure. Thirty cm of jejunum were divided longitudinally. During the following year, his enteral tolerance steadily improved to the point where TPN could be discontinued. We conclude that pediatric surgeons should not hesitate to use this procedure in the management of SBS.

Authors+Show Affiliations

Department of Pediatric General Surgery, The Montreal Children's Hospital/McGill University, Quebec, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

9493989

Citation

Flageole, H, et al. "The Bianchi Procedure in a Patient With Jejunal Atresia." European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Fur Kinderchirurgie, vol. 7, no. 6, 1997, pp. 361-3.
Flageole H, Adolph VR, Sigalet DL, et al. The Bianchi procedure in a patient with jejunal atresia. Eur J Pediatr Surg. 1997;7(6):361-3.
Flageole, H., Adolph, V. R., Sigalet, D. L., Fecteau, A., Drouin, E., & Laberge, J. M. (1997). The Bianchi procedure in a patient with jejunal atresia. European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Fur Kinderchirurgie, 7(6), 361-3.
Flageole H, et al. The Bianchi Procedure in a Patient With Jejunal Atresia. Eur J Pediatr Surg. 1997;7(6):361-3. PubMed PMID: 9493989.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Bianchi procedure in a patient with jejunal atresia. AU - Flageole,H, AU - Adolph,V R, AU - Sigalet,D L, AU - Fecteau,A, AU - Drouin,E, AU - Laberge,J M, PY - 1998/3/11/pubmed PY - 1998/3/11/medline PY - 1998/3/11/entrez SP - 361 EP - 3 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 - 7 IS - 6 N2 - While small-bowel transplantation remains an option for the management of short-bowel syndrome (SBS), every effort must be made to optimize the function of the native bowel. This report describes a patient with SBS who dramatically improved after a Bianchi procedure. The patient was born with type IIIb jejunal atresia, complicated by volvulus of the terminal ileum. He was left with 40 cm of small bowel and his ileocecal valve. During the first 20 months of his life, he was always hospitalized except for 3 months. He was on parenteral nutrition (TPN) and suffered multiple episodes of central line sepsis. Massive small-bowel dilatation caused a functional bowel obstruction with bacterial overgrowth, and villous atrophy of the jejunal mucosa was discovered on biopsies done by colonoscopy. In March 1994, we elected to proceed with a Bianchi procedure. Thirty cm of jejunum were divided longitudinally. During the following year, his enteral tolerance steadily improved to the point where TPN could be discontinued. We conclude that pediatric surgeons should not hesitate to use this procedure in the management of SBS. SN - 0939-7248 UR - https://www.unboundmedicine.com/medline/citation/9493989/The_Bianchi_procedure_in_a_patient_with_jejunal_atresia_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2008-1071192 DB - PRIME DP - Unbound Medicine ER -