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BOB in Ped Surg - Lourenzo Sbragia, IBEROAMERICANA - Presentation
With Dr. Lourenzo Sbragia
Chapter 1 of 5 · Fundamentals
Definitions
Introduction and Definitions
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What the experts said
Short bowel syndrome is defined as the malabsorption state resulting from extensive intestinal resection
Intestinal insufficiency is characterized by the loss or decrease of intestinal absorptive capacity to maintain nutritional status
Short bowel syndrome incidence is 24 cases for 1000 live births
Global mortality for short bowel syndrome is 37%
Short bowel syndrome is defined as remaining intestine less than 60 cm
Ultra short bowel syndrome is defined as remaining intestine less than 25 cm
The study included 53 cases of short bowel syndrome with 20 survivors
Of the 53 cases, 30 had short bowel syndrome and 23 had ultra short bowel syndrome
55% of cases were diagnosed with necrotizing enterocolitis (NEC)
20% of cases were diagnosed with gastroschisis
10% of cases were diagnosed with intestinal atresia
10% of cases were diagnosed with midgut volvulus
75% of patients were premature
73% required implementation of venous catheter
70% required total parenteral nutrition (TPN)
Food adaptation and remaining bowel length showed differences between short bowel and ultra short bowel groups
There was no difference in death rates between short bowel and ultra short bowel groups
Potential risk factors for death included TPN use, inability to achieve food adaptation, and inability to establish enteral nutrition
Time for definitive surgery in days was a potential predictor for death
Weight at discharge or death was a potential predictor for death
Overall mortality in neonatal surgery was 57%
Avoiding complications and shortening TPN duration during the adaptation period had a significant impact on survival