Cargando…
Early Bowel Lengthening Procedures: Bi-Institutional Experience and Review of the Literature
Early bowel lengthening procedure (EBLP) has been defined as any bowel lengthening procedure performed before six months of age. The purpose of this paper is to compare our experience with literature on this subject to identify common indications. A bi-institutional retrospective analysis was perfor...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8870478/ https://www.ncbi.nlm.nih.gov/pubmed/35204941 http://dx.doi.org/10.3390/children9020221 |
_version_ | 1784656761573081088 |
---|---|
author | Negri, Elisa Coletta, Riccardo Forsythe, Lynette Gigola, Francesca Cianci, Maria Chiara Morabito, Antonino |
author_facet | Negri, Elisa Coletta, Riccardo Forsythe, Lynette Gigola, Francesca Cianci, Maria Chiara Morabito, Antonino |
author_sort | Negri, Elisa |
collection | PubMed |
description | Early bowel lengthening procedure (EBLP) has been defined as any bowel lengthening procedure performed before six months of age. The purpose of this paper is to compare our experience with literature on this subject to identify common indications. A bi-institutional retrospective analysis was performed. Diagnosis, type of surgery, age at procedure and outcomes were analysed. Eleven EBLP were performed in Manchester and Florence from 2006 to 2021. The median age at surgery was 126 days (102–180), pre-operative median short bowel (SB) length was 28 cm (17–49) with a post-operative median increase of 81%. Furthermore, a PubMed/Embase search was undertaken regarding bowel lengthening procedures performed in the last 40 years. Sixty-one EBLP were identified. The median age was 60 days (1–90). Serial transverse enteroplasty (STEP) was the most frequent procedure used, with a median increased bowel length of 57%. This study confirms that no clear consensus on indication or timing to perform early SB lengthening is reported. According to the gathered data, EBLP should be considered only in cases of actual necessity and performed in a qualified intestinal failure centre. |
format | Online Article Text |
id | pubmed-8870478 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-88704782022-02-25 Early Bowel Lengthening Procedures: Bi-Institutional Experience and Review of the Literature Negri, Elisa Coletta, Riccardo Forsythe, Lynette Gigola, Francesca Cianci, Maria Chiara Morabito, Antonino Children (Basel) Article Early bowel lengthening procedure (EBLP) has been defined as any bowel lengthening procedure performed before six months of age. The purpose of this paper is to compare our experience with literature on this subject to identify common indications. A bi-institutional retrospective analysis was performed. Diagnosis, type of surgery, age at procedure and outcomes were analysed. Eleven EBLP were performed in Manchester and Florence from 2006 to 2021. The median age at surgery was 126 days (102–180), pre-operative median short bowel (SB) length was 28 cm (17–49) with a post-operative median increase of 81%. Furthermore, a PubMed/Embase search was undertaken regarding bowel lengthening procedures performed in the last 40 years. Sixty-one EBLP were identified. The median age was 60 days (1–90). Serial transverse enteroplasty (STEP) was the most frequent procedure used, with a median increased bowel length of 57%. This study confirms that no clear consensus on indication or timing to perform early SB lengthening is reported. According to the gathered data, EBLP should be considered only in cases of actual necessity and performed in a qualified intestinal failure centre. MDPI 2022-02-07 /pmc/articles/PMC8870478/ /pubmed/35204941 http://dx.doi.org/10.3390/children9020221 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 Negri, Elisa Coletta, Riccardo Forsythe, Lynette Gigola, Francesca Cianci, Maria Chiara Morabito, Antonino Early Bowel Lengthening Procedures: Bi-Institutional Experience and Review of the Literature |
title | Early Bowel Lengthening Procedures: Bi-Institutional Experience and Review of the Literature |
title_full | Early Bowel Lengthening Procedures: Bi-Institutional Experience and Review of the Literature |
title_fullStr | Early Bowel Lengthening Procedures: Bi-Institutional Experience and Review of the Literature |
title_full_unstemmed | Early Bowel Lengthening Procedures: Bi-Institutional Experience and Review of the Literature |
title_short | Early Bowel Lengthening Procedures: Bi-Institutional Experience and Review of the Literature |
title_sort | early bowel lengthening procedures: bi-institutional experience and review of the literature |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8870478/ https://www.ncbi.nlm.nih.gov/pubmed/35204941 http://dx.doi.org/10.3390/children9020221 |
work_keys_str_mv | AT negrielisa earlybowellengtheningproceduresbiinstitutionalexperienceandreviewoftheliterature AT colettariccardo earlybowellengtheningproceduresbiinstitutionalexperienceandreviewoftheliterature AT forsythelynette earlybowellengtheningproceduresbiinstitutionalexperienceandreviewoftheliterature AT gigolafrancesca earlybowellengtheningproceduresbiinstitutionalexperienceandreviewoftheliterature AT ciancimariachiara earlybowellengtheningproceduresbiinstitutionalexperienceandreviewoftheliterature AT morabitoantonino earlybowellengtheningproceduresbiinstitutionalexperienceandreviewoftheliterature |