Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohort
Background: Short bowel syndrome (SBS) is one of the most frequent causes of intestinal failure, needing parenteral nutrition to maintain an energy-protein and water-electrolyte balance. At the Hospital Infantil de México Federico Gómez (HIMFG), the formation of two stomas is a technique used for in...
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Permanyer
2024-01-01
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| Series: | Boletín Médico del Hospital Infantil de México |
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| Online Access: | https://www.bmhim.com/frame_eng.php?id=416 |
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| author | Eustorgio S. García-Cárdenas Isela Nuñez-Barrera América L. Miranda-Lora Juan J. Bolaños-Perez Rosalinda Lopez-Rodriguez Norma Briseño-Chavarria Salvador Villalpando-Carrión |
| author_facet | Eustorgio S. García-Cárdenas Isela Nuñez-Barrera América L. Miranda-Lora Juan J. Bolaños-Perez Rosalinda Lopez-Rodriguez Norma Briseño-Chavarria Salvador Villalpando-Carrión |
| author_sort | Eustorgio S. García-Cárdenas |
| collection | DOAJ |
| description | Background: Short bowel syndrome (SBS) is one of the most frequent causes of intestinal failure, needing parenteral nutrition to maintain an energy-protein and water-electrolyte balance. At the Hospital Infantil de México Federico Gómez (HIMFG), the formation of two stomas is a technique used for intestinal rehabilitation, where the use of residue through the bypass technique (BT) helps to maintain gastrointestinal functionality, water-electrolyte, and nutritional stability. This study aimed to describe the technique of using intestinal residue through BT as a treatment strategy in intestinal rehabilitation and its effect on the biochemical and nutritional status of pediatric patients with SBS. Methods: An analytical and retrospective cross-sectional study was performed in patients hospitalized at HIMFG with SBS who underwent BT during their hospital stay between 2019 and 2020 and then followed up for 8 weeks. Results: A total of 10 patients were included in this study, with a mean age of 24 months; 50% were female. BT was able to reduce the inflammatory process in the liver caused by the continuous use of parenteral nutrition; enteral caloric intake increased from 25.32 kcal/kg/day to 72.94 kcal/kg/day, but it was insufficient to improve their nutritional status. Conclusions: BT is a safe and effective alternative in intestinal rehabilitation in patients with SBS to stimulate trophism and intestinal functionality, allowing a progression of enteral feeding and a decrease in the hepatic inflammatory process that occurs in these patients with prolonged parenteral nutrition.
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| first_indexed | 2024-04-24T22:27:24Z |
| format | Article |
| id | doaj.art-9f9ca0d6838b46ecb1c1d3b9135108f3 |
| institution | Directory Open Access Journal |
| issn | 0539-6115 |
| language | English |
| last_indexed | 2024-04-24T22:27:24Z |
| publishDate | 2024-01-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Boletín Médico del Hospital Infantil de México |
| spelling | doaj.art-9f9ca0d6838b46ecb1c1d3b9135108f32024-03-19T23:17:31ZengPermanyerBoletín Médico del Hospital Infantil de México0539-61152024-01-0181110.24875/BMHIM.23000110Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohortEustorgio S. García-Cárdenas0Isela Nuñez-Barrera1América L. Miranda-Lora2Juan J. Bolaños-Perez3Rosalinda Lopez-Rodriguez4Norma Briseño-Chavarria5Salvador Villalpando-Carrión6Departamento de Gastroenterología y Nutrición, Hospital Infantil de México Federico Gómez, Mexico City, MexicoDepartamento de Gastroenterología y Nutrición, Hospital Infantil de México Federico Gómez, Mexico City, MexicoUnidad de Investigación Epidemiológica en Endocrinología y Nutrición, Hospital Infantil de México Federico Gómez, Mexico City, MexicoDepartamento de Gastroenterología y Nutrición, Hospital Infantil de México Federico Gómez, Mexico City, MexicoClínica Colorectal de Heridas y Estomas, Hospital Infantil de México Federico Gómez, Mexico City, MexicoClínica Colorectal de Heridas y Estomas, Hospital Infantil de México Federico Gómez, Mexico City, MexicoDepartamento de Gastroenterología y Nutrición, Hospital Infantil de México Federico Gómez, Mexico City, MexicoBackground: Short bowel syndrome (SBS) is one of the most frequent causes of intestinal failure, needing parenteral nutrition to maintain an energy-protein and water-electrolyte balance. At the Hospital Infantil de México Federico Gómez (HIMFG), the formation of two stomas is a technique used for intestinal rehabilitation, where the use of residue through the bypass technique (BT) helps to maintain gastrointestinal functionality, water-electrolyte, and nutritional stability. This study aimed to describe the technique of using intestinal residue through BT as a treatment strategy in intestinal rehabilitation and its effect on the biochemical and nutritional status of pediatric patients with SBS. Methods: An analytical and retrospective cross-sectional study was performed in patients hospitalized at HIMFG with SBS who underwent BT during their hospital stay between 2019 and 2020 and then followed up for 8 weeks. Results: A total of 10 patients were included in this study, with a mean age of 24 months; 50% were female. BT was able to reduce the inflammatory process in the liver caused by the continuous use of parenteral nutrition; enteral caloric intake increased from 25.32 kcal/kg/day to 72.94 kcal/kg/day, but it was insufficient to improve their nutritional status. Conclusions: BT is a safe and effective alternative in intestinal rehabilitation in patients with SBS to stimulate trophism and intestinal functionality, allowing a progression of enteral feeding and a decrease in the hepatic inflammatory process that occurs in these patients with prolonged parenteral nutrition. https://www.bmhim.com/frame_eng.php?id=416Short bowel syndrome. Intestinal failure. Prolonged parenteral nutrition. Intestinal bypass technique. Pediatric population. |
| spellingShingle | Eustorgio S. García-Cárdenas Isela Nuñez-Barrera América L. Miranda-Lora Juan J. Bolaños-Perez Rosalinda Lopez-Rodriguez Norma Briseño-Chavarria Salvador Villalpando-Carrión Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohort Boletín Médico del Hospital Infantil de México Short bowel syndrome. Intestinal failure. Prolonged parenteral nutrition. Intestinal bypass technique. Pediatric population. |
| title | Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohort |
| title_full | Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohort |
| title_fullStr | Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohort |
| title_full_unstemmed | Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohort |
| title_short | Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohort |
| title_sort | usefulness and description of the intestinal bypass technique in children with short bowel syndrome report of a mexican cohort |
| topic | Short bowel syndrome. Intestinal failure. Prolonged parenteral nutrition. Intestinal bypass technique. Pediatric population. |
| url | https://www.bmhim.com/frame_eng.php?id=416 |
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