A new surgical technique for short bowel syndrome
Abstract Objective Short bowel syndrome (SBS) is a severe intestinal disease that causes malabsorption. Long-term parental nutrition therapy induces infection and liver failure. For the surgical management of intestinal rehabilitation, the intestinal loop lengthening method and serial transverse ent...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-022-01823-5 |
| _version_ | 1797984587642568704 |
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| author | Isamu Saeki Sho Kurihara Masato Kojima Hiroki Ohge Shinya Takahashi Eiso Hiyama |
| author_facet | Isamu Saeki Sho Kurihara Masato Kojima Hiroki Ohge Shinya Takahashi Eiso Hiyama |
| author_sort | Isamu Saeki |
| collection | DOAJ |
| description | Abstract Objective Short bowel syndrome (SBS) is a severe intestinal disease that causes malabsorption. Long-term parental nutrition therapy induces infection and liver failure. For the surgical management of intestinal rehabilitation, the intestinal loop lengthening method and serial transverse enteroplasty (STEP) method have been reported, although their effects have proven limited. We herein report a new surgical technique, Saeki–Spiral–Shark (3S) method for SBS using biomimetics of shark intestine. Methods In the 3S method, a spiral valve is formed inside the intestine by external sutures. Using a 25 cm length intestinal organ model, we performed both the 3S method and STEP procedure. We then compared the length and fluid passage times of the subsequently formed intestine. Results After the 3S method was performed, the length of the intestinal model changed to 22 cm, and after the STEP procedure, that was elongated to 30 cm. Although the water passage times did not change markedly, the semi-digestive nutritional supplement passage time slowed down in the model with the 3S method. There was slight leakage in the STEP procedure model. Conclusions The 3S method is a unique method of treating SBS based on biomimetics. This procedure does not require an incision of the intestine, which thereby enabling clean and less-invasive surgery. We plan to conduct animal experiments in the future. |
| first_indexed | 2024-04-11T07:05:12Z |
| format | Article |
| id | doaj.art-0542376c47184bfc91a417ceb904d397 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-11T07:05:12Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-0542376c47184bfc91a417ceb904d3972022-12-22T04:38:25ZengBMCBMC Surgery1471-24822022-11-012211610.1186/s12893-022-01823-5A new surgical technique for short bowel syndromeIsamu Saeki0Sho Kurihara1Masato Kojima2Hiroki Ohge3Shinya Takahashi4Eiso Hiyama5Department of Pediatric Surgery, Hiroshima University HospitalDepartment of Pediatric Surgery, Hiroshima University HospitalDepartment of Pediatric Surgery, Hiroshima University HospitalDepartment of Surgery, Hiroshima University HospitalDepartment of Cardiovascular Surgery, Hiroshima University HospitalDepartment of Pediatric Surgery, Hiroshima University HospitalAbstract Objective Short bowel syndrome (SBS) is a severe intestinal disease that causes malabsorption. Long-term parental nutrition therapy induces infection and liver failure. For the surgical management of intestinal rehabilitation, the intestinal loop lengthening method and serial transverse enteroplasty (STEP) method have been reported, although their effects have proven limited. We herein report a new surgical technique, Saeki–Spiral–Shark (3S) method for SBS using biomimetics of shark intestine. Methods In the 3S method, a spiral valve is formed inside the intestine by external sutures. Using a 25 cm length intestinal organ model, we performed both the 3S method and STEP procedure. We then compared the length and fluid passage times of the subsequently formed intestine. Results After the 3S method was performed, the length of the intestinal model changed to 22 cm, and after the STEP procedure, that was elongated to 30 cm. Although the water passage times did not change markedly, the semi-digestive nutritional supplement passage time slowed down in the model with the 3S method. There was slight leakage in the STEP procedure model. Conclusions The 3S method is a unique method of treating SBS based on biomimetics. This procedure does not require an incision of the intestine, which thereby enabling clean and less-invasive surgery. We plan to conduct animal experiments in the future.https://doi.org/10.1186/s12893-022-01823-5Short bowel syndromeSmall intestineIntestinal rehabilitationBiomimeticsSurgical technique |
| spellingShingle | Isamu Saeki Sho Kurihara Masato Kojima Hiroki Ohge Shinya Takahashi Eiso Hiyama A new surgical technique for short bowel syndrome BMC Surgery Short bowel syndrome Small intestine Intestinal rehabilitation Biomimetics Surgical technique |
| title | A new surgical technique for short bowel syndrome |
| title_full | A new surgical technique for short bowel syndrome |
| title_fullStr | A new surgical technique for short bowel syndrome |
| title_full_unstemmed | A new surgical technique for short bowel syndrome |
| title_short | A new surgical technique for short bowel syndrome |
| title_sort | new surgical technique for short bowel syndrome |
| topic | Short bowel syndrome Small intestine Intestinal rehabilitation Biomimetics Surgical technique |
| url | https://doi.org/10.1186/s12893-022-01823-5 |
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