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Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience

In our experience, the Santulli procedure (SP) can improve bowel recovery in congenital intestinal malformations, necrotizing enterocolitis (NEC), and bowel perforation. All cases managed at our institution using SP between 2012 and 2017 were included in this study. Forty-one patients underwent SP (...

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Autores principales: Vinit, Nicolas, Rousseau, Véronique, Broch, Aline, Khen-Dunlop, Naziha, Hachem, Taymme, Goulet, Olivier, Sarnacki, Sabine, Beaudoin, Sylvie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8774359/
https://www.ncbi.nlm.nih.gov/pubmed/35053709
http://dx.doi.org/10.3390/children9010084
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author Vinit, Nicolas
Rousseau, Véronique
Broch, Aline
Khen-Dunlop, Naziha
Hachem, Taymme
Goulet, Olivier
Sarnacki, Sabine
Beaudoin, Sylvie
author_facet Vinit, Nicolas
Rousseau, Véronique
Broch, Aline
Khen-Dunlop, Naziha
Hachem, Taymme
Goulet, Olivier
Sarnacki, Sabine
Beaudoin, Sylvie
author_sort Vinit, Nicolas
collection PubMed
description In our experience, the Santulli procedure (SP) can improve bowel recovery in congenital intestinal malformations, necrotizing enterocolitis (NEC), and bowel perforation. All cases managed at our institution using SP between 2012 and 2017 were included in this study. Forty-one patients underwent SP (median age: 39 (0–335) days, median weight: 2987 (1400–8100) g) for intestinal atresia (51%, two gastroschisis), NEC (29%), midgut volvulus (10%), Hirschsprung’s disease (5%), or bowel perforation (5%), with at least one intestinal suture below the Santulli in 10% of cases. The SP was performed as a primary procedure (57%) or as a double-ileostomy reversal. Anal-stool passing occurred within a median of 9 (2–36) days for 95% of patients, regardless of the diversion level or the underlying disease. All three patients requiring repeated surgery for Santulli dysfunction had presented with stoma prolapse (p < 0.01). Stoma closure was performed after a median of 45 (14–270) days allowing efficient transit after a median of 2 (1–6) days. After a median follow-up of 2.9 (0.7–7.2) years, two patients died (cardiopathy and brain hemorrhage), full oral intake had been achieved in 90% of patients, and all survivors had normal bowel movement. Whether used as primary or secondary surgery, the SP allows rapid recovery of intestinal motility and function.
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spelling pubmed-87743592022-01-21 Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience Vinit, Nicolas Rousseau, Véronique Broch, Aline Khen-Dunlop, Naziha Hachem, Taymme Goulet, Olivier Sarnacki, Sabine Beaudoin, Sylvie Children (Basel) Article In our experience, the Santulli procedure (SP) can improve bowel recovery in congenital intestinal malformations, necrotizing enterocolitis (NEC), and bowel perforation. All cases managed at our institution using SP between 2012 and 2017 were included in this study. Forty-one patients underwent SP (median age: 39 (0–335) days, median weight: 2987 (1400–8100) g) for intestinal atresia (51%, two gastroschisis), NEC (29%), midgut volvulus (10%), Hirschsprung’s disease (5%), or bowel perforation (5%), with at least one intestinal suture below the Santulli in 10% of cases. The SP was performed as a primary procedure (57%) or as a double-ileostomy reversal. Anal-stool passing occurred within a median of 9 (2–36) days for 95% of patients, regardless of the diversion level or the underlying disease. All three patients requiring repeated surgery for Santulli dysfunction had presented with stoma prolapse (p < 0.01). Stoma closure was performed after a median of 45 (14–270) days allowing efficient transit after a median of 2 (1–6) days. After a median follow-up of 2.9 (0.7–7.2) years, two patients died (cardiopathy and brain hemorrhage), full oral intake had been achieved in 90% of patients, and all survivors had normal bowel movement. Whether used as primary or secondary surgery, the SP allows rapid recovery of intestinal motility and function. MDPI 2022-01-07 /pmc/articles/PMC8774359/ /pubmed/35053709 http://dx.doi.org/10.3390/children9010084 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Vinit, Nicolas
Rousseau, Véronique
Broch, Aline
Khen-Dunlop, Naziha
Hachem, Taymme
Goulet, Olivier
Sarnacki, Sabine
Beaudoin, Sylvie
Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience
title Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience
title_full Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience
title_fullStr Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience
title_full_unstemmed Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience
title_short Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience
title_sort santulli procedure revisited in congenital intestinal malformations and postnatal intestinal injuries: preliminary report of experience
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8774359/
https://www.ncbi.nlm.nih.gov/pubmed/35053709
http://dx.doi.org/10.3390/children9010084
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