ORIGINAL ARTICLES

Neonatal short bowel syndrome Olivier J, Goulet, MD, Yann Revillon, MD, Dominique Jan, MD, Sophie De Potter, MD, C h a n t a l M a u r a g e , MD, Stephen Lortat-Jacob, MD, H61~ne Martelli, MD, Claire NihouI-Fekete, MD, a n d C l a u d e Ricour, MD From the Department of Paediatrics, the Divisions of Paediatrlc Gastroenterology and Nutritionl and Paediatric Surgery, H6pital Necker-Enfants Malades, Paris, France In this retrospective study the management of infants who had undergone resection of more than 50% of the small bowel as newborn infants between 1970 and 1988 was analyzed to define prognostic factors. Small bowel resections w e r e performed for atresia (36 cases), volvulus (22 cases), gastroschisis (10 cases), necrotizing enterocolitis (11 cases), and other disorders (8 cases). Patients were classified into two groups depending on the length of residual Small bowel: group I (n - 35) had less than 40 cm of small bowel and group 2 (n = 51) had 40 to 80 Cm of residual small bowel. Patients in group 2 had significantly better survival rates than those in group I (92.0% vs 66.6%; p

Neonatal short bowel syndrome.

In this retrospective study the management of infants who had undergone resection of more than 50% of the small bowel as newborn infants between 1970 ...
539KB Sizes 0 Downloads 0 Views