Continuous extracorporeal stool-transport system: a new and economical procedure for transitory short-bowel syndrome in prematures and newborns.
Between May 1994 and June 1995, nine newborns underwent surgery due to mechanical ileus or intrauterine perforation of the small bowel. Three were very-low-birth-weight infants weighing between 520 and 1,200 g. Surgery was performed in the first 2 days of life and split ileo- or jejunostomas were implanted. Early oral nutrition was initiated. To avoid non-use of the distal bowel and short-bowel syndrome, the aboral stoma was irrigated a few days later with the proximal feces. A new technique was applied to transport the chyle continuously from the oral to the aboral stoma: the stool was collected in an especially constructed stoma bag and transported distally by a roller pump. No major complications were seen. The general outcome was excellent in all cases, and reanastomosis under optimal bowel conditions was achieved in all patients without further problems.
Schäfer
K
K
Department of Pediatric Surgery, University of Heidelberg, Germany.
Zachariou
Z
Z
Löffler
W
W
Daum
R
R
D005243:Feces; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000601:surgery / Q000628:therapy*; D019102:Infant, Very Low Birth Weight; D007409:Intestinal Atresia / Q000601:surgery; D007415:Intestinal Obstruction / Q000601:surgery; D008470:Meconium; D012778:Short Bowel Syndrome / Q000628:therapy*