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- Title
Nutritional Outcomes of Bowel Lengthening Procedure in Patients with Short Bowel Syndrome.
- Authors
Niseteo, Tena; Šalamon Janečić, Mia; Sila, Sara; Torić, Anuka; Serdar, Laura; Višnjić, Stjepan; Tolete Velcek, Francisca; Mesić, Marko; Hojsak, Iva
- Abstract
Background: Although parenteral nutrition (PN) significantly improves mortality rates in pediatric short bowel syndrome (SBS), long-term PN has many possible complications and impacts quality of life. Bowel lengthening procedures (BLPs) increase the contact surface of food and the intestinal mucosa and enable the better absorption of nutrients and liquids, possibly leading to a PN decrease. Methods: We retrospectively reviewed the data of patients with short bowel syndrome who underwent BLPs in the period from January 2016 to January 2022. Overall, eight patients, four male, five born prematurely, underwent BLPs. Results: There was a significant decrease in the percentage of total caloric intake provided via PN and PN volume after the BLPs. The more evident results were seen 6 months after the procedure and at the last follow-up, which was, on average, 31 months after the procedure. Two patients were weaned off PN after their BLPs. Patients remained well nourished during the follow-up. Conclusions: The BLP led to a significant decrease in PN needs and an increase in the food intake; however, significant changes happened more than 6 months after the procedure.
- Subjects
PARENTERAL feeding; FOOD consumption; THERAPEUTICS; NUTRITIONAL assessment; INTESTINAL diseases; TREATMENT effectiveness; RETROSPECTIVE studies; SHORT bowel syndrome; DIGESTIVE organ surgery; ENTERAL feeding; NUTRITIONAL status; MEDICAL records; ACQUISITION of data; PLASTIC surgery; EVALUATION
- Publication
Nutrients, 2024, Vol 16, Issue 10, p1456
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu16101456