BOB in Ped Surg 2023 - IBEROAMERICANA Winner - Lourenzo Sbragia, MD

Short bowel syndrome is defined as the malabsorption state resulting from extensive intestinal resection

Short bowel syndrome incidence is 24 cases per thousand live births

Global neonatal mortality for short bowel syndrome is 37%

Study inclusion criteria were short bowel syndrome less than 60 cm and ultra short bowel syndrome less than 25 cm with no ileocecal valve

The study included 52 patients with short bowel syndrome: 30 short bowel and 23 ultra short bowel syndrome

Primary diagnoses were 55% NEC, 20% gastroschisis, 10% intestinal atresia, and 10% midgut volvulus

75% of patients were premature

73% required central catheter implantation and 70% needed parenteral nutrition

Potential risk factors for death were TPN duration, inability to achieve enteral adaptation, and inability to achieve adequate nutrition

Overall survival in neonatal surgery was 57% with high morbidity and mortality

TPN during the adaptation period had a significant impact on survival

In some Latin American countries, it can be difficult to have perfect TPN for short bowel syndrome patients

Most patients with total necrotizing enterocolitis will survive with short gut or ultra short gut if the decision is made to continue therapy

The important question for short bowel syndrome is long-term survival, not just initial survival