[Extensive small intestinal resection in newborn infants].
This retrospective study analyzes the management of 83 infants who had undergone extensive small bowel resection as newborns between 1970 and 1987. Resection was performed for atresia (n = 34), volvulus (n = 21), laparoschisis (n = 10), vascular enteropathy (n = 10) and other disorders in 8 cases. The patients were divided into two groups: Group I (33 children) has less than 40 cm and Group II (50 children) 40-80 cm of residual small bowel respectively. Survival depended on the length of residual small bowel (Group I: 63.6%, Group II: 92%) and on their date of birth (born before 1980: 65%, after 1980: 95%). The time required for acquisition of intestinal autonomy depended on the intestinal length (average time, 29.5 months for Group I and 14 months for Group II) and especially on the presence of the ileocecal valve. The residual ileal and/or colon length also influenced adaptation. Artificial parenteral and/or enteral nutrition ensured normal height/weight increases. Home parenteral nutrition allowed children to be returned to their families during intestinal adaptation.
Goulet
O
O
Service de Gastroentérologie et Nutrition et de la Clinique Chirurgicale Infantile, Hôpital des Enfants-Malades, Paris.
Maurage
C
C
Revillon
Y
Y
Nihoul-Fékété
C
C
Jan
D
D
de Potter
S
S
Gorski
A M
AM
Pellerin
D
D
Ricour
C
C
D001835:Body Weight; D004750:Enteral Nutrition; D004766:Enterostomy; D005260:Female; D005500:Follow-Up Studies; D006699:Home Care Services; D006801:Humans; D007080:Ileocecal Valve; D007231:Infant, Newborn; D007410:Intestinal Diseases / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D008286:Malabsorption Syndromes / Q000628:therapy*; D008297:Male; D010288:Parenteral Nutrition; D012189:Retrospective Studies; D012778:Short Bowel Syndrome / Q000628:therapy*
Résection étendue du grêle en période néonatale.