We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Pediatric short bowel syndrome and subsequent development of inflammatory bowel disease: an illustrative case and literature review.
- Authors
Baxter, Katherine; Srinivasan, Jahnavi; Ziegler, Thomas; Dhere, Tanvi; Ricketts, Richard; Durham, Megan; Baxter, Katherine J; Srinivasan, Jahnavi K; Ziegler, Thomas R; Ricketts, Richard R; Durham, Megan M
- Abstract
Short bowel syndrome (SBS) in neonates is an uncommon but highly morbid condition. As SBS survival increases, physiologic complications become more apparent. Few reports in the literature elucidate outcomes for adults with a pediatric history of SBS. We present a case report of a patient, born with complicated gastroschisis resulting in SBS at birth, who subsequently developed symptoms and pathologic changes of inflammatory bowel disease (IBD) as an adult. The patient lived from age 7, after a Bianchi intestinal lengthening procedure, to age 34 independent of parenteral nutrition (PN), but requiring hydration fluid via G-tube. He was then diagnosed with IBD, after presenting with weight loss, diarrhea, and malabsorption, which required resumption of PN and infliximab treatment. This report adds to a small body of the literature which points to a connection between SBS in neonates and subsequent diagnosis of IBD. Recent evidence suggests that SBS and IBD have shared features of mucosal immune dysfunction and altered intestinal microbiota. We review current treatment options for pediatric SBS as well as multidisciplinary and coordinated transition strategies. We conclude that there may be an etiologic connection between SBS and IBD and that this knowledge may impact outcomes and approaches to care.
- Subjects
SHORT bowel syndrome; NEONATAL diseases; GASTROSCHISIS; INFLAMMATORY bowel diseases; PARENTERAL feeding; INFLAMMATORY bowel disease treatment; GASTROINTESTINAL agents; FLUID therapy; DISEASE complications; THERAPEUTICS
- Publication
Pediatric Surgery International, 2017, Vol 33, Issue 6, p731
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-017-4080-9