[Management of short bowel syndrome in infants--experience of adjunctive surgical therapy in three cases].
During the past nine years period, we managed 7 cases with short bowel syndrome resulting from massive intestinal resection in the neonatal period. Six children, aged 2 to 8 years are alive, and one died from cardiomyopathy caused by selenium deficiency at the age of one year. The carbohydrate-free milk was used for initial enteral nutrition, and the result was encouraging in 4 cases. In 3 cases in which residual small bowel varied between 6.5 to 18 cm, the enteral feeding was not incapable. These cases underwent adjunctive surgical therapy. Tailoring jejunoplasty was performed in the first case, and bowel lengthening in the second case. In both cases enteral nutrition was advanced postoperatively. The third patient who had rapid intestinal transit time underwent isoperistaltic colon interposition. Intestinal transit time was increased and enteral nutrition was advanced gradually.
Tsuda
M
M
Department of Pediatric Surgery, Aichi Prefectural Colony, Kasugai, Japan.
Nagaya
M
M
Esaki
M
M
Harada
T
T
Aono
S
S
D002648:Child; D002675:Child, Preschool; D004750:Enteral Nutrition; D005260:Female; D005772:Gastrointestinal Transit; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007583:Jejunum / Q000601:surgery; D008286:Malabsorption Syndromes / Q000601:surgery*; D008297:Male; D012778:Short Bowel Syndrome / Q000209:etiology / Q000601:surgery*