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Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohort.
- Source :
-
Boletin medico del Hospital Infantil de Mexico [Bol Med Hosp Infant Mex] 2024; Vol. 81 (1), pp. 23-30. - Publication Year :
- 2024
-
Abstract
- Background: Short bowel syndrome (SBS) is one of the most frequent causes of intestinal failure, needing parenteral nutrition to maintain an energy-protein and water-electrolyte balance. At the Hospital Infantil de México Federico Gómez (HIMFG), the formation of two stomas is a technique used for intestinal rehabilitation, where the use of residue through the bypass technique (BT) helps to maintain gastrointestinal functionality, water-electrolyte, and nutritional stability. This study aimed to describe the technique of using intestinal residue through BT as a treatment strategy in intestinal rehabilitation and its effect on the biochemical and nutritional status of pediatric patients with SBS.<br />Methods: An analytical and retrospective cross-sectional study was performed in patients hospitalized at HIMFG with SBS who underwent BT during their hospital stay between 2019 and 2020 and then followed up for 8 weeks.<br />Results: A total of 10 patients were included in this study, with a mean age of 24 months; 50% were female. BT was able to reduce the inflammatory process in the liver caused by the continuous use of parenteral nutrition; enteral caloric intake increased from 25.32 kcal/kg/day to 72.94 kcal/kg/day, but it was insufficient to improve their nutritional status.<br />Conclusions: BT is a safe and effective alternative in intestinal rehabilitation in patients with SBS to stimulate trophism and intestinal functionality, allowing a progression of enteral feeding and a decrease in the hepatic inflammatory process that occurs in these patients with prolonged parenteral nutrition.<br /> (Copyright: © 2023 Permanyer.)
Details
- Language :
- English
- ISSN :
- 1665-1146
- Volume :
- 81
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Boletin medico del Hospital Infantil de Mexico
- Publication Type :
- Academic Journal
- Accession number :
- 38503324
- Full Text :
- https://doi.org/10.24875/BMHIM.23000110