Massive small bowel resection in neonates—Is weaning from parenteral nutrition the final goal? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1992-01

AUTHORS

Yoshinobu Matsuo, Riichiro Nezu, Akio Kubota, Masahiro Fukuzawa, Kenji Imura, Shinkichi Kamata, Yoji Takagi, Akira Okada

ABSTRACT

Eight surviving cases from an original 15 pediatric patients who underwent massive small bowel resection during their neonatal period were reviewed for a period of 2–19 years to assess long-term prognosis. the primary diseases were congenital intestinal atresia in 6 cases and midgut volvulus in 2. The length of the residual small intestine ranged from 27–75 cm and the ileocaecal valve had been resected in 3 cases. All cases were able to be weaned from parenteral nutrition and at present, 6 of the children can tolerate normal meals but 2 are still receiving enteral nutrition, in the form of a low residue diet at home. Near normal somatic growth was achieved in the most recent 5 cases who received intensive nutritional treatment in the immediate postoperative period, whereas 3 who did not receive nutritional management exhibited growth retardation. The D-Xylose absorption test revealed gradual improvement and finally normal absorption in all except one case with the shortest remaining intestine (27 cm). However, the fat absorption test revealed abnormal absorption in cases with a residual intestine of less than 45 cm. Late metabolic complications such as renal calculi, cholelithiasis and pathologic fractures were encoutered in 3 cases. More... »

PAGES

40-45

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf00326124

DOI

http://dx.doi.org/10.1007/bf00326124

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1048621070

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/1547374


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