Surgical strategies in short bowel syndrome.

Abstract:

:Extensive loss of small bowel in all age groups has significant morbidity and mortality consequences. Despite the astonishing ability of the small bowel to compensate for an extensive loss, long-term parenteral nutrition and enteral nutrition, tailored to the need of the patients in relation to the missing intestinal regions is needed. Organ-preserving surgical intervention becomes necessary in patients with a very short intestinal transit time and in an other group of patients with impaired propulsive peristalsis. Intestinal transplantation is indicated in recurrent septical infections or if nearly all of the small bowel is missing. This review discusses indications and risks of the organ-preserving surgical therapies in children with short bowel syndrome.

journal_name

Pediatr Surg Int

authors

Höllwarth ME

doi

10.1007/s00383-016-4043-6

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

413-419

issue

4

eissn

0179-0358

issn

1437-9813

pii

10.1007/s00383-016-4043-6

journal_volume

33

pub_type

杂志文章,评审
  • Multiple trauma in pediatric patients.

    abstract::We analyzed the causes and diagnoses, the treatment, short and long-term outcome of a consecutive series of 70 pediatric polytrauma patients. From 1989 to 1996, 70 children (aged 10 months to 16 years, mean 7.4 years) presented with multiple trauma. A follow-up investigation was performed 4.2 years (mean) after the ac...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-003-0954-0

    authors: Schalamon J,v Bismarck S,Schober PH,Höllwarth ME

    更新日期:2003-08-01 00:00:00

  • Extrahepatic biliary atresia associated with trisomy 18.

    abstract::A case of extrahepatic biliary atresia (EBA) associated with trisomy 18 is presented. A 1-month-old boy was suspected to have Alagille syndrome with obstructive jaundice, a systolic heart murmur, growth retardation, and a small, pointed chin. However, surgery and chromosomal analysis revealed EBA associated with triso...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050536

    authors: Ikeda S,Sera Y,Yoshida M,Ohshiro H,Ueno M,Izaki T,Akizuki M,Hamamoto R,Uchino S

    更新日期:1999-01-01 00:00:00

  • Surgical complications, especially gastroesophageal reflux disease, intestinal adhesion obstruction, and diaphragmatic hernia recurrence, are major sequelae in survivors of congenital diaphragmatic hernia.

    abstract:PURPOSE:This study aimed to characterize the surgical complications, especially gastroesophageal reflux disease (GERD), intestinal adhesion obstruction (IAO), and diaphragmatic hernia recurrence, in patients with congenital diaphragmatic hernia (CDH). METHODS:Between January 1995 and December 2013, we determined the i...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-014-3575-x

    authors: Yokota K,Uchida H,Kaneko K,Ono Y,Murase N,Makita S,Hayakawa M

    更新日期:2014-09-01 00:00:00

  • Utility of PAS and β-catenin staining in histological categorisation and prediction of prognosis of hepatoblastomas.

    abstract:AIMS:The aim of this study was to assess the usefulness of PAS, β-catenin and Ki-67 in categorising hepatoblastomas (HBs) and their significance in predicting prognosis. In addition, we have also documented the various chemotherapy induced histologic changes in HBs. METHOD:In this retrospective observational study of ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-017-4115-2

    authors: Bera G,Das RN,Roy P,Ghosh R,Islam N,Mishra PK,Chatterjee U

    更新日期:2017-09-01 00:00:00

  • Urgent distal splenorenal shunt in low-body weight patients.

    abstract::The authors report two patients with extrahepatic portal hypertension and repeated massive bleeding from esophageal varices who underwent urgent distal splenorenal shunting (DSRS) after having proved refractory to medical treatment, endoscopic sclerotherapy, and ligation of esophageal varices. Their ages and weights w...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830100014

    authors: Vila Carbó JJ,Ibáñez V,Lluna J,Roca A,Genovés I,García-Sala C

    更新日期:2001-11-01 00:00:00

  • Intramural esophageal bronchogenic cyst mimicking achalasia in a toddler.

    abstract::Bronchogenic cysts are congenital malformations of the tracheobronchial tree. We describe a 20-month-old male who presented with persistent non-bilious emesis; manometry and imaging were consistent with esophageal achalasia. During a planned laparoscopic Heller myotomy, an intramural bronchogenic cyst was discovered i...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-016-3994-y

    authors: Lin JS,Yu YR,Chiou EH,Chumpitazi BP,Schady DA,Brandt ML

    更新日期:2017-01-01 00:00:00

  • Perineal-mound defects.

    abstract::Perineal-mound (PMD) and genital-fold defects cause anorectal malformations (ARM) in both sexes. They are common in females and usually present as a low anomaly (except rectovestibular fistula). They are rare in males and present as an intermediate anomaly. A common embryological explanation for these defects with var...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s003830050562

    authors: Sharma AK,Goel D,Kothari SK

    更新日期:1999-01-01 00:00:00

  • Modified PATIO repair for urethrocutaneous fistula post-hypospadias repair: operative technique and outcomes.

    abstract:BACKGROUND:To describe a modification of PATIO repair for urethrocutaneous fistula repair and evaluate its outcome. METHODS:We studied 15 boys who underwent modified PATIO repair from Jan 2010 to Sept 2015. Parameters studied included age, type of hypospadias, age at first urethroplasty, hypospadias repair technique, ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-016-3983-1

    authors: Rathod K,Loyal J,More B,Rajimwale A

    更新日期:2017-01-01 00:00:00

  • Surgery results in significant improvement in growth in children with Crohn's disease refractory to medical therapy.

    abstract::Inflammatory bowel disease (IBD) in children can cause significant impairment in linear growth, and delay in pubertal onset. The aim of this study was to assess the impact of surgery on linear growth in children with Crohn's disease (CD) who were resistant to medical therapy, and had documented evidence of growth impa...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-006-1664-1

    authors: Singh Ranger G,Lamparelli MJ,Aldridge A,Chong SK,Mitton SG,Albanese A,Kumar D

    更新日期:2006-04-01 00:00:00

  • Early bougienage for relief of stricture formation following caustic esophageal burns.

    abstract::Accidental ingestion of corrosive substances remains a major health hazard in children. Most infants and children who ingest caustic substances present with very few symptoms or signs. Approximately 40% of caustic substance ingestions result in esophageal injury, but the optimal management of caustic esophageal burns ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-004-1331-3

    authors: Tiryaki T,Livanelioğlu Z,Atayurt H

    更新日期:2005-02-01 00:00:00

  • The surgical treatment of H-fistula with normal anus in girls.

    abstract:PURPOSE:The surgical treatment of children with H-fistula is one of the understudied problems of the present day, especially regarding its high rates of complications. The surgical technique of bringing down the anterior wall of rectum in clinical practice allows us in reducing the rate of H-fistula recurrences. The re...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-008-2234-5

    authors: Akhparov NN,Aipov RR,Ormantayev KS

    更新日期:2008-11-01 00:00:00

  • The management of anorectal malformation with congenital vestibular fistula: a single-stage modified anterior sagittal anorectoplasty.

    abstract:PURPOSE:This study aimed to evaluate the mid-term outcomes of single-stage modified anterior sagittal anorectoplasty (ASARP) for anorectal malformation with vestibular fistula. METHOD:Twenty-six patients with congenital imperforate anus and vestibular fistula underwent single-stage modified sphincter-saving ASARP betw...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3749-1

    authors: Wang C,Li L,Liu S,Chen Z,Diao M,Li X,Qiao G,Cheng W

    更新日期:2015-09-01 00:00:00

  • Feasibility of complex minimally invasive surgery in neonates.

    abstract::The aim of this study was to assess the feasibility of complex minimally invasive surgery in neonates (and infants <5 kg). A systematic search of databases was performed. Inguinal herniotomy and pyloromyotomy were specifically excluded. Various operations were assessed for operative times, conversion rates, complicati...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-008-2318-2

    authors: Sinha CK,Paramalingam S,Patel S,Davenport M,Ade-Ajayi N

    更新日期:2009-03-01 00:00:00

  • Communicating bronchopulmonary foregut malformation: particular emphasis on concomitant congenital tracheobronchial stenosis.

    abstract::A total of four patients with communicating bronchopulmonary foregut malformation were treated surgically at Kobe Children's Hospital between 1993 and 2004. Of these, three patients displayed congenital tracheobronchial stenosis and developed life-threatening respiratory distress soon after birth. In each case, anomal...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-005-1520-8

    authors: Tsugawa J,Tsugawa C,Satoh S,Nishijima E,Muraji T,Takamizawa S,Kanegawa K,Akasaka Y

    更新日期:2005-11-01 00:00:00

  • Surgeon-performed bedside ultrasound to assess volume status: a feasibility study.

    abstract:PURPOSE:Rapid assessment of volume status in children is often difficult. The purpose of this study was to evaluate the feasibility of surgeon-performed ultrasound to assess volume status in patients with hypertrophic pyloric stenosis. METHODS:Ultrasounds were performed on admission and before operation. The diameters...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3798-5

    authors: Wyrick DL,Smith SD,Burford JM,Swearingen CJ,Dassinger MS

    更新日期:2015-12-01 00:00:00

  • One-staged or two-staged surgery for perforated choledochal cyst with bile peritonitis in children? A single center experience with 27 cases.

    abstract:PURPOSE:To report the authors' experience in the management of perforated choledochal cyst with bile peritonitis (PCC) in children. METHODS:Medical records of all children undergoing surgery for PCC at our hospital from May, 2005 to January, 2013 were reviewed. RESULTS:Twenty seven patients were identified, with a me...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-014-3461-6

    authors: Ngoc Son T,Thanh Liem N,Manh Hoan V

    更新日期:2014-03-01 00:00:00

  • Heterotopic salivary gland presenting as a supra-clavicular swelling.

    abstract::A 5-month-old female was referred to the paediatric surgery clinic with a neck swelling in the right supra-clavicular region. This was thought clinically to be cystic hygroma. Pathology showed an ectopic salivary gland. This should be added to the list of differential diagnoses of neck swelling in childhood. ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-009-2366-2

    authors: Naguib NN,Hamza AF,Kiberu S,Vali A,Davies DJ,McGowan BA,Izzidien AY

    更新日期:2009-06-01 00:00:00

  • Complicated gastroschisis and maternal smoking: a causal association?

    abstract::The incidence of gastroschisis appears to be rising in developed nations, with epidemiological studies indicating association with young maternal age and smoking. Is there an association between maternal smoking and the development of complicated gastroschisis? A retrospective population-based review of all cases of g...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-007-1926-6

    authors: Zamakhshary M,Yanchar NL

    更新日期:2007-09-01 00:00:00

  • Role of the surgeon in non-accidental trauma.

    abstract::Non-accidental trauma (NAT) represents a significant cause of morbidity and mortality in the pediatric population. The management of these patients often involves many care providers including the surgeon. Victims of NAT often present with multiple injuries and as such should be treated as trauma patients with complet...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-015-3688-x

    authors: Naik-Mathuria B,Akinkuotu A,Wesson D

    更新日期:2015-07-01 00:00:00

  • Reappraisal of the role of the bilioenteric conduit in the pathogenesis of postoperative cholangitis.

    abstract::The incidence of postoperative cholangitis has changed very little despite progressive improvement in the treatment of biliary atresia. The role of the bilioenteric conduit in its pathogenesis is still uncertain. A retrospective study of 39 patients undergoing either a conventional Kasai operation (group 1, n = 20) or...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050008

    authors: Chuang JH,Lee SY,Shieh CS,Chen WJ,Chang NK

    更新日期:2000-01-01 00:00:00

  • Acute appendicitis: the continuing role for active observation.

    abstract::We present the results of a 6-year review of appendicitis. In the event of diagnostic doubt, a policy of active observation was instituted. This review endorses the validity of such a policy, indicating that it does not expose patients to increased morbidity. Data were collected prospectively over a 6-year period on 1...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830000483

    authors: Bachoo P,Mahomed AA,Ninan GK,Youngson GG

    更新日期:2001-03-01 00:00:00

  • Intestinal ischemia secondary to volvulus of gastroschisis within a silo: detection, confirmation and reversal of near infra-red spectroscopy detected O2 saturation.

    abstract::A neonate with gastroschisis had silo placement and near-infrared spectroscopy (NIRS) monitoring of intestinal haemoglobin oxygen saturation (RSO2). An ischemic loop of bowel demonstrated decreased RSO2, with reversal of clinical ischemia and RSO2 postoperatively. This demonstrates possible advantage of monitoring int...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-014-3591-x

    authors: McHoney M,Munro F

    更新日期:2014-11-01 00:00:00

  • Is fecal diversion necessary during ileal pouch creation after initial subtotal colectomy in pediatric ulcerative colitis?

    abstract:BACKGROUND:Pediatric patients with medically refractory ulcerative colitis (UC) often undergo an initial subtotal colectomy end ileostomy (STC-I). The role of fecal diversion in the subsequent completion proctectomy/ileal-pouch anal anastomosis (CP-IPAA) remains controversial. METHODS:A multi-institutional retrospecti...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00383-019-04440-1

    authors: Chen YJ,Grant R,Lindholm E,Lipskar A,Dolgin S,Khaitov S,Greenstein A

    更新日期:2019-04-01 00:00:00

  • The use of robotics in pediatric surgery: my initial experience.

    abstract::Robotic assisted minimal invasive surgery (RMIS) is a new resource popular in some surgical specialties but not yet in pediatric surgery. There are numerous advantages of robotic surgical technology in adult patients well documented in the literature. The purpose of this study is to define the feasibility, safety, and...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-011-2901-9

    authors: Camps JI

    更新日期:2011-09-01 00:00:00

  • Gram-negative organisms in peritoneal dialysis peritonitis: an early indication for surgery in patients with haemolytic uraemic syndrome?

    abstract:PURPOSE:Haemolytic uraemic syndrome (HUS) is the commonest childhood cause of acute renal failure. Peritoneal dialysis peritonitis (PDP) is a well-recognised complication, with some children requiring surgical intervention (SI). The aim of this study is to determine whether the presence of enteric organisms in cases of...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3833-6

    authors: Harwood R,Wilkinson D,Ramkumar S,Humphrey G

    更新日期:2016-03-01 00:00:00

  • Congenital cystic adenomatoid malformation of the lung: indications and timing of surgery.

    abstract::We review a single surgeon and surgical centre's experience with congenital cystic adenomatoid malformation of the lung (CCAML) in relation to clinical spectrum, operative experience, and postoperative course. A retrospective hospital record review was done on surgically treated cases of CCAML over a 10-year period, f...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-004-1225-4

    authors: Khosa JK,Leong SL,Borzi PA

    更新日期:2004-07-01 00:00:00

  • Effect of exogenous glial cell-derived neurotrophic factor on development of the enteric nervous system in the rectal end of fetal rats with anorectal malformations.

    abstract:OBJECTIVE:The objective of this study is to analyze the effect of exogenous glial cell-derived neurotrophic factor (GDNF) in the development of the enteric nervous system (ENS) in the rectal end of fetal rats. MATERIALS AND METHODS:Thirty pregnant Sprague-Dawley rats were categorized randomly into three groups: ethyle...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-012-3251-y

    authors: Huang Y,Zheng S

    更新日期:2013-04-01 00:00:00

  • Esophageal hiatal hernia after omphalocele repair.

    abstract::Esophageal hiatal hernias (EHH) are probably caused by congenital, traumatic, or iatrogenic factors, although the etiology remains unknown. EHHs may develop after abdominal wall closure for omphalocele or gastroschisis due to the increased intra-abdominal pressure, however, there have been few reports in the literatur...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050352

    authors: Wang ZQ,Todani T,Watanabe Y,Toki A,Sato Y,Ogura K,Yamamoto S

    更新日期:1998-07-01 00:00:00

  • Neurosurgical management of hydrocephalus by a general surgeon in an extremely low resource setting: initial experience in North Kivu province of Eastern Democratic Republic of Congo.

    abstract:PURPOSE:Evaluate the management of hydrocephalus in pediatric patients in the Eastern Democratic Republic of Congo by a general surgeon. METHODS:Retrospective review of a single institution in the province of North Kivu. Patient charts and surgical notes were reviewed from 2003 to 2016. RESULTS:116 procedures were pe...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-018-4238-0

    authors: Cairo SB,Agyei J,Nyavandu K,Rothstein DH,Kalisya LM

    更新日期:2018-04-01 00:00:00

  • Rhabdoid tumour of the kidney: a diagnostic challenge and a fatal outcome.

    abstract::Rhabdoid tumour of the kidney is not common. Presentation of such a lethal tumour along with blunt abdominal trauma is even rarer. We report such a case of Rhabdoid tumour of kidney which presented as renal trauma, and discuss the diagnostic difficulties and rapidly fatal outcome. ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003839900290

    authors: Desai SR,Upadhyay V

    更新日期:2000-01-01 00:00:00