Importance of Ileum and Colon in Children with Short Bowel Syndrome.

Humans Child Short Bowel Syndrome / therapy Ileum Intestine, Small Parenteral Nutrition Colon
Colon Ileum Parenteral nutrition Short bowel syndrome

Journal

Journal of pediatric surgery
ISSN: 1531-5037
Titre abrégé: J Pediatr Surg
Pays: United States
ID NLM: 0052631

Informations de publication

Date de publication:
Jul 2023
Historique:
received: 19 01 2023
accepted: 25 01 2023
medline: 23 6 2023
pubmed: 10 3 2023
entrez: 9 3 2023
Statut: ppublish

Résumé

It is well known that small bowel length is a dominant prognostic indicator in patients with short bowel syndrome (SBS). The relative importance of jejunum, ileum, and colon is less well defined in children with SBS. Here we review the outcome of children with SBS with respect to the type of remnant intestine. A retrospective review of 51 children with SBS was conducted at a single institution. The duration of parenteral nutrition use was the main outcome variable. The length of the remaining intestine as well as the type of intestine were recorded for each patient. Kaplan-Meier analyses were conducted to compare the subgroups. Children with greater than 10% expected small bowel length or more than 30 cm of small bowel achieved enteral autonomy faster than those with less. The presence of ileocecal valve enhanced the ability to wean from parenteral nutrition. The presence of ileum significantly enhanced the ability to wean from parenteral nutrition. Patients with the entire colon also achieved enteral autonomy sooner than those with partial colon. The preservation of ileum and colon is important in patients with SBS. Approaches to preserve or lengthen ileum and colon may be beneficial for these patients. IV.

Sections du résumé

BACKGROUND BACKGROUND
It is well known that small bowel length is a dominant prognostic indicator in patients with short bowel syndrome (SBS). The relative importance of jejunum, ileum, and colon is less well defined in children with SBS. Here we review the outcome of children with SBS with respect to the type of remnant intestine.
METHODS METHODS
A retrospective review of 51 children with SBS was conducted at a single institution. The duration of parenteral nutrition use was the main outcome variable. The length of the remaining intestine as well as the type of intestine were recorded for each patient. Kaplan-Meier analyses were conducted to compare the subgroups.
RESULTS RESULTS
Children with greater than 10% expected small bowel length or more than 30 cm of small bowel achieved enteral autonomy faster than those with less. The presence of ileocecal valve enhanced the ability to wean from parenteral nutrition. The presence of ileum significantly enhanced the ability to wean from parenteral nutrition. Patients with the entire colon also achieved enteral autonomy sooner than those with partial colon.
CONCLUSIONS CONCLUSIONS
The preservation of ileum and colon is important in patients with SBS. Approaches to preserve or lengthen ileum and colon may be beneficial for these patients.
LEVEL OF EVIDENCE METHODS
IV.

Identifiants

DOI: 10.1016/j.jpedsurg.2023.01.053 PMID: 36894441
pubmed: 36894441
pii: S0022-3468(23)00089-1
doi: 10.1016/j.jpedsurg.2023.01.053
pii:
doi:

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1258-1262

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Auteurs

Asia Smith (A)

Division of Pediatric Surgery, Department of Surgery, Stanford University, Stanford, CA, USA.

Shweta Namjoshi (S)

Division of Gastroenterology, Department of Pediatrics, Stanford University, Stanford, CA, USA.

John A Kerner (JA)

Division of Gastroenterology, Department of Pediatrics, Stanford University, Stanford, CA, USA.

James C Y Dunn (JCY)

Division of Pediatric Surgery, Department of Surgery, Stanford University, Stanford, CA, USA. Electronic address: jdunn2@stanford.edu.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Importance of Ileum and Colon in Children with...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Importance of Ileum and Colon in Children with...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Syndrome de l'intestin court › Importance of Ileum and Colon in Children with...
questionsmedicales.fr › Système digestif › Tube digestif › Tube digestif inférieur › Iléum › Importance of Ileum and Colon in Children with...
questionsmedicales.fr › Système digestif › Tube digestif › Intestins › Intestin grêle › Importance of Ileum and Colon in Children with...
questionsmedicales.fr › Thérapeutique › Thérapie nutritionnelle › Soutien nutritionnel › Nutrition parentérale › Importance of Ileum and Colon in Children with...
questionsmedicales.fr › Système digestif › Tube digestif › Tube digestif inférieur › Gros intestin › Côlon › Importance of Ileum and Colon in Children with...