Nutritional Outcomes of Bowel Lengthening Procedure in Patients with Short Bowel Syndrome.
| Title: | Nutritional Outcomes of Bowel Lengthening Procedure in Patients with Short Bowel Syndrome. |
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| Authors: | Niseteo T; Referral Center for Pediatric Gastroenterology and Nutrition, Children's Hospital Zagreb, 10000 Zagreb, Croatia.; Šalamon Janečić M; Referral Center for Pediatric Gastroenterology and Nutrition, Children's Hospital Zagreb, 10000 Zagreb, Croatia.; Sila S; Referral Center for Pediatric Gastroenterology and Nutrition, Children's Hospital Zagreb, 10000 Zagreb, Croatia.; Torić A; Pharmacy Unit, Children's Hospital Zagreb, 10000 Zagreb, Croatia.; Serdar L; Pharmacy Unit, Children's Hospital Zagreb, 10000 Zagreb, Croatia.; Višnjić S; Department of Surgery, Children's Hospital Zagreb, 10000 Zagreb, Croatia.; Department of Surgery, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.; Tolete Velcek F; Division of Pediatric Surgery, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY 11203, USA.; Mesić M; Department of Surgery, Children's Hospital Zagreb, 10000 Zagreb, Croatia.; Hojsak I; Referral Center for Pediatric Gastroenterology and Nutrition, Children's Hospital Zagreb, 10000 Zagreb, Croatia.; Department of Pediatrics, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.; Department of Pediatrics, School of Medicine, University J.J. Strossmayer, 31000 Osijek, Croatia. |
| Source: | Nutrients [Nutrients] 2024 May 12; Vol. 16 (10). Date of Electronic Publication: 2024 May 12. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: MDPI Publishing Country of Publication: Switzerland NLM ID: 101521595 Publication Model: Electronic Cited Medium: Internet ISSN: 2072-6643 (Electronic) Linking ISSN: 20726643 NLM ISO Abbreviation: Nutrients Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Basel, Switzerland : MDPI Publishing |
| MeSH Terms: | Short Bowel Syndrome*/surgery ; Short Bowel Syndrome*/therapy ; Parenteral Nutrition*; Digestive System Surgical Procedures/methods ; Digestive System Surgical Procedures/adverse effects ; Humans ; Male ; Female ; Retrospective Studies ; Treatment Outcome ; Infant ; Child, Preschool ; Child ; Nutritional Status ; Energy Intake ; Quality of Life |
| Abstract: | Background: Although parenteral nutrition (PN) significantly improves mortality rates in pediatric short bowel syndrome (SBS), long-term PN has many possible complications and impacts quality of life. Bowel lengthening procedures (BLPs) increase the contact surface of food and the intestinal mucosa and enable the better absorption of nutrients and liquids, possibly leading to a PN decrease.; Methods: We retrospectively reviewed the data of patients with short bowel syndrome who underwent BLPs in the period from January 2016 to January 2022. Overall, eight patients, four male, five born prematurely, underwent BLPs.; Results: There was a significant decrease in the percentage of total caloric intake provided via PN and PN volume after the BLPs. The more evident results were seen 6 months after the procedure and at the last follow-up, which was, on average, 31 months after the procedure. Two patients were weaned off PN after their BLPs. Patients remained well nourished during the follow-up.; Conclusions: The BLP led to a significant decrease in PN needs and an increase in the food intake; however, significant changes happened more than 6 months after the procedure. |
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| Contributed Indexing: | Keywords: intestinal failure; parenteral nutrition; serial transverse enteroplasty procedure |
| Entry Date(s): | Date Created: 20240525 Date Completed: 20240525 Latest Revision: 20240527 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11124483 |
| DOI: | 10.3390/nu16101456 |
| PMID: | 38794694 |
| Database: | MEDLINE |
Journal Article