The first national report on the Bianchi technique for short bowel syndrome.
Two case reports.
DOI:
https://doi.org/10.31837/cir.urug/9.1.2Keywords:
short bowel syndrome, intestinal failure, intestinal elongation, procedimiento de BianchiAbstract
The Bianchi technique was effectively utilized to treat the first two documented cases of short bowel syndrome at the Pereira Rossell Hospital in Montevideo, Uruguay. Both cases involved type II short bowel syndrome (jejuno-colonic anastomosis), caused by a congenital factor (gastroschisis complicated with intestinal atresia) and were indicated by the persistent intestinal failure despite medical intervention. The outcomes were remarkably positive, resulting in the complete and permanent cessation of parenteral nutrition and substantial weight gain.
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References
Pironi L. Definitions of intestinal failure and the short bowel syndrome. Best Pract Res Clin Gastroenterol 2016;30:173–85. doi: 10.1016/j.bpg.2016.02.011
Nightingale J, Woodward JM. Guidelines for management of patients with a short bowel. Gut 2006;55(4):1–12. doi: 10.1136/gut.2006.091108.
Irving M. Spectrum and epidemiology of intestinal failure. Clin Nutr 1995;14(1):10–1. doi: 10.1016/s0261-5614(95)80274-6.
Struijs MC, Diamond IR, de Silva N, Wales PW. Establishing norms for intestinal length in children. J Pediatr Surg 2009;44(5):933–8. doi: 10.1016/j.jpedsurg.2009.01.031.
Hommel MJ, Van Baren R, Haveman JW. Surgical management and autologous intestinal reconstruction in short bowel syndrome. Best Pract Res Clin Gastroenterol 2016;30(2):263–80. doi: 10.1016/j.bpg.2016.03.006.
Boroni G, Parolini F, Stern MV, Moglia C, Alberti D. Autologous Intestinal Reconstruction Surgery in Short Bowel Syndrome: Which, When, and Why. Front Nutr 2022;9:1–17. doi: 10.3389/fnut.2022.861093.
Pakarinen MP. Autologous intestinal reconstruction surgery as part of comprehensive management of intestinal failure. Pediatr Surg Int 2015;31(5):453–64. doi: 10.1007/s00383-015-3696-x.
Javid PJ, Wendel D, Horslen SP. Organization and outcomes of multidisciplinary intestinal failure teams. Semin Pediatr Surg 2018;27(4):218–22. doi: 10.1053/j.sempedsurg.2018.07.005.
Bianchi A. Intestinal Loop Lengthening-A Technique for Increasing Small Intestinal Length. J Pediatr Surg 1980;15(2):145–51. doi: 10.1016/s0022-3468(80)80005-4.
Bianchi A. Intestinal lengthening: an experimental and clinical review. J R Soc Med 1894;77(3):35–41.
Kim HB, Fauza D, Garza J, Oh JT, Nurko S, Jaksic T. Serial transverse enteroplasty (STEP): A novel bowel lengthening procedure. J Pediatr Surg 2003;38(3):425–9. doi: 10.1053/jpsu.2003.50073.
Cserni T, Takayasu H, Muzsnay Z, Varga G, Murphy F, Folaranmi SE, et al. New idea of intestinal lengthening and tailoring. Pediatr Surg Int 2011;27(9):1009–13. doi: 10.1007/s00383-011-2900-x.
Nagelkerke SCJ, Poelgeest MYV, Wessel LM, Mutanen A, Langeveld HR, Hill S, et al. Bowel Lengthening Procedures in Children with Short Bowel Syndrome: A Systematic Review. Eur J of Pediatr Surg 2022;32(4):301–9. doi: 10.1055/s-0041-1725187.
Shah AA, Petrosyan M, Franklin AL, Chahine AA, Torres C, Sandler AD. Autologous intestinal reconstruction: a single institution study of the serial transverse enteroplasty (STEP) and the longitudinal intestinal lengthening and tailoring (LILT). Pediatr Surg Int 2019;35(6):649–55. doi: 10.1007/s00383-019-04468-3
Muff JL, Sokolovski F, Walsh-Korb Z, Choudhury RA, Dunn JCY, Holland-Cunz SG, et al. Surgical Treatment of Short Bowel Syndrome—The Past, the Present and the Future, a Descriptive Review of the Literature. Children 2022;9(7):1024. doi: 10.3390/children9071024.
Frongia G, Kessler M, Weih S, Nickkholgh A, Mehrabi A, Holland-Cunz S. Comparison of LILT and STEP procedures in children with short bowel syndrome - A systematic review of the literature. J Pediatr Surg 2013;48(8):1794–805. doi: 10.1016/j.jpedsurg.2013.05.018.
Jones BA, Hull MA, McGuire MM, Kim HB. Autologous intestinal reconstruction surgery. Semin Pediatr Surg 2010;19(1):59–67. doi: 10.1053/j.sempedsurg.2009.11.007.
Alberti D, Boroni G, Giannotti G, Parolini F, Armellini A, Morabito A, et al. Spiral intestinal lenghtening and tailoring (SILT) for a child with severely short bowel. Pediatr Surg Int 2014;30(11):1169–72. doi: 10.1007/s00383-014-3583-x.
Smith N, Harwood R, Almond S. Short bowel syndrome - Surgical perspectives and outcomes. J Paediatr Child Health 2014;24(11):513–8. doi: 10.1016/j.paed.2014.06.004
Fisher JG, Stamm DA, Modi BP, Duggan C, Jaksic T. Gastrointestinal bleeding as a complication of serial transverse enteroplasty. J Pediatr Surg 2014;49(5):745–9. doi: 10.1016/j.jpedsurg.2014.02.060.
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