Current Surgical Concepts and Indications in the Management of the Short Bowel State: A Call for the Use of Multidisciplinary Intestinal Rehabilitation Programs
Abstract
:1. Introduction
2. Intestinal Rehabilitation Program
3. Autologous Gastrointestinal Reconstruction (AGIR)
4. Our Experience
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Coletta, R.; Khalil, B.A.; Morabito, A. Short bowel syndrome in children: Surgical and medical perspectives. Semin. Pediatr. Surg. 2014, 23, 291–297. [Google Scholar] [CrossRef]
- Ba’ath, M.E.; Almond, S.; King, B.; Bianchi, A.; Khalil, B.A.; Morabito, A. Short bowel syndrome: A practical pathway leading to successful enteral autonomy. World J. Surg. 2012, 36, 1044–1048. [Google Scholar] [CrossRef]
- Khalil, B.A.; Ba’ath, M.E.; Aziz, A.; Forsythe, L.; Gozzini, S.; Murphy, F.; Carlson, G.; Bianchi, A.; Morabito, A. Intestinal rehabilitation and bowel reconstructive surgery: Improved outcomes in children with short bowel syndrome. J. Pediatr. Gastroenterol. Nutr. 2012, 54, 505–509. [Google Scholar] [CrossRef]
- Mihatsch, W.A.; Braegger, C.; Bronsky, J.; Cai, W.; Campoy, C.; Carnielli, V.; Darmaun, D.; Desci, T.; Domellöf, M.; Embleton, N.; et al. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition. Clin. Nutr. 2018, 37 (Pt B), 2303–2305. [Google Scholar] [CrossRef] [Green Version]
- Wiskin, A.E.; Russell, R.; Barclay, A.R.; Thomas, J.; Batra, A. BANS committee of BAPEN. Prevalence of home parenteral nutrition in children. Clin. Nutr. ESPEN 2021, 42, 138–141. [Google Scholar] [CrossRef]
- Torres, C.; Badalyan, V.; Mohan, P. Twelve-year outcomes of intestinal failure-associated liver disease in children with short-bowel syndrome: 97% transplant-free survival and 81% enteral autonomy. JPEN J. Parenter. Enter. Nutr. 2021. [Google Scholar] [CrossRef] [PubMed]
- Bishay, M.; Pichler, J.; Horn, V.; Macdonald, S.; Ellmer, M.; Eaton, S.; Hill, S.; Pierro, A. Intestinal failure-associated liver disease in surgical infants requiring long-term parenteral nutrition. J. Pediatr. Surg. 2012, 47, 359–362. [Google Scholar] [CrossRef]
- Yap, J.Y.K.; Roberts, A.J.; Bines, J.E. Paediatric intestinal failure and transplantation. J. Paediatr. Child Health 2020, 56, 1747–1753. [Google Scholar] [CrossRef] [PubMed]
- Gazit, V.A.; Swietlicki, E.A.; Liang, M.U.; Surti, A.; McDaniel, R.; Geisman, M.; Alvarado, D.M.; Ciorba, M.A.; Bochicchio, G.; Ilahi, O.; et al. Stem cell and niche regulation in human short bowel syndrome. JCI Insight. 2020, 5, e137905. [Google Scholar] [CrossRef] [PubMed]
- Boscarelli, A.; Codrich, D.; Schleef, J. Technical innovations for autologous intestinal reconstruction surgery in children with short bowel syndrome. Pediatr. Surg. Int. 2021, 37, 523–524. [Google Scholar] [CrossRef] [PubMed]
- Nagelkerke, S.C.J.; Poelgeest, M.Y.V.; Wessel, L.M.; Mutanen, A.; Langeveld, H.R.; Hill, S.; Benninga, M.A.; Tabbers, M.M.; Bakx, R. Bowel Lengthening Procedures in Children with Short Bowel Syndrome: A Systematic Review. Eur. J. Pediatr. Surg. 2021. [Google Scholar] [CrossRef]
- Muto, M.; Kaji, T.; Onishi, S.; Yano, K.; Yamada, W.; Ieiri, S. An overview of the current management of short-bowel syndrome in pediatric patients. Surg. Today 2021. [Google Scholar] [CrossRef] [PubMed]
- Merritt, R.J.; Cohran, V.; Raphael, B.P.; Sentongo, T.; Volpert, D.; Warner, B.W.; Goday, P.S. Nutrition Committee of the north American society for pediatric gastroenterology, hepatology and nutrition. Intestinal rehabilitation programs in the management of pediatric intestinal failure and short bowel syndrome. J. Pediatr. Gastroenterol. Nutr. 2017, 65, 588–596. [Google Scholar] [CrossRef] [PubMed]
- Feng, H.; Zhang, T.; Yan, W.; Lu, L.; Tao, Y.; Cai, W.; Wang, Y. Micronutrient deficiencies in pediatric short bowel syndrome: A 10-year review from an intestinal rehabilitation center in China. Pediatr. Surg. Int. 2020, 36, 1481–1487. [Google Scholar] [CrossRef]
- Dariel, A.; Faure, A.; Martinez, L.; Morini, F.; Pini Prato, A.; Friedmacher, F.; Coste, M.E. European Pediatric Surgeon’ Association Survey on the Management of Short-Bowel Syndrome. Eur. J. Pediatr. Surg. 2021, 31, 8–13. [Google Scholar] [CrossRef]
- Park, C.J.; Shaughnessy, M.P.; Zhang, L.; Ms, S.J.A.; Caty, M.G.; Cowles, R.A.A. National Survey of Pediatric Intestinal Rehabilitation Programs in the United States. JPEN J. Parenter. Enter. Nutr. 2020. [Google Scholar] [CrossRef]
- Mangalat, N. Pediatric Intestinal Failure: A Review of the Scope of Disease and a Regional Model of a Multidisciplinary Care Team. Mo. Med. 2019, 116, 129–133. [Google Scholar]
- Belza, C.; Wales, P.W. Impact of multidisciplinary teams for management of intestinal failure in children. Curr. Opin. Pediatr. 2017, 29, 334–339. [Google Scholar] [CrossRef]
- Tauriainen, A.; Sankilampi, U.; Raitio, A.; Tauriainen, T.; Helenius, I.; Vanamo, K.; Hyvärinen, A. The association of perinatal and clinical factors with outcomes in infants with gastroschisis-a retrospective multicenter study in Finland. Eur. J. Pediatr. 2021, 2, 1–9. [Google Scholar]
- Moschino, L.; Duci, M.; Fascetti Leon, F.; Bonadies, L.; Priante, E.; Baraldi, E.; Verlato, G. Optimizing Nutritional Strategies to Prevent Necrotizing Enterocolitis and Growth Failure after Bowel Resection. Nutrients 2021, 13, 340. [Google Scholar] [CrossRef]
- Höllwarth, M.E.; Solari, V. Nutritional and pharmacological strategy in children with short bowel syndrome. Pediatr. Surg. Int. 2021, 37, 1–15. [Google Scholar] [CrossRef]
- Rybak, A.; Sethuraman, A.; Nikaki, K.; Koeglmeier, J.; Lindley, K.; Borrelli, O. Gastroesophageal Reflux Disease and Foregut Dysmotility in Children with Intestinal Failure. Nutrients 2020, 12, 3536. [Google Scholar] [CrossRef] [PubMed]
- Kocoshis, S.A. Medical management of pediatric intestinal failure. Semin. Pediatr. Surg. 2010, 19, 20–26. [Google Scholar] [CrossRef] [PubMed]
- Sanaksenaho, G.; Mutanen, A.; Godbole, N.; Hukkinen, M.; Merras-Salmio, L.; Kivisaari, R.; Kyrönlahti, A.; Pihlajoki, M.; Lohi, J.; Heikinheimo, M.; et al. Compromised duodenal mucosal integrity in children with short bowel syndrome after adaptation to enteral autonomy. J. Pediatr. Surg. 2020, 56, 966–974. [Google Scholar] [CrossRef] [PubMed]
- Rege, A. The Surgical Approach to Short Bowel Syndrome—Autologous Reconstruction versus Transplantation. Viszeralmedizin 2014, 30, 179–189. [Google Scholar] [CrossRef] [Green Version]
- Rege, A.S.; Sudan, D.L. Autologous gastrointestinal reconstruction: Review of the optimal nontransplant surgical options for adults and children with short bowel syndrome. Nutr. Clin. Pract. 2013, 28, 65–74. [Google Scholar] [CrossRef]
- Bianchi, A. Autologous gastrointestinal reconstruction for short bowel syndrome. Br. J. Hosp. Med. 2007, 68, 24–27. [Google Scholar] [CrossRef]
- Bianchi, A. Autologous gastrointestinal reconstruction. Semin. Pediatr. Surg. 1995, 4, 54–59. [Google Scholar] [PubMed]
- Bianchi, A. From the cradle to enteral autonomy: The role of autologous gastrointestinal reconstruction. Gastroenterology 2006, 130 (Suppl. S1), S138–S146. [Google Scholar] [CrossRef]
- Bianchi, A.; Morabito, A. The dilated bowel: A liability and an asset. Semin. Pediatr. Surg. 2009, 18, 249–257. [Google Scholar] [CrossRef] [PubMed]
- Demehri, F.R.; Wong, P.M.; Freeman, J.J.; Fukatsu, Y.; Teitelbaum, D.H. A novel double-balloon catheter device for fully endoluminal intestinal lengthening. Pediatr. Surg. Int. 2014, 30, 1223–1229. [Google Scholar] [CrossRef] [PubMed]
- Collins, J., 3rd; Vicente, Y.; Georgeson, K.; Kelly, D. Partial intestinal obstruction induces substantial mucosal proliferation in the pig. J. Pediatr. Surg. 1996, 31, 415–419. [Google Scholar] [CrossRef]
- Glick, P.L.; de Lorimier, A.A.; Adzick, N.S.; Harrison, M.R. Colon interposition: An adjuvant operation for short-gut syndrome. J. Pediatr. Surg. 1984, 19, 719–725. [Google Scholar] [CrossRef]
- Georgeson, K.; Halpin, D.; Figueroa, R.; Vincente, Y.; Hardin, W., Jr. Sequential intestinal lengthening procedures for refractory short bowel syndrome. J. Pediatr. Surg. 1994, 29, 316–320. [Google Scholar] [CrossRef]
- Bianchi, A. Intestinal loop lengthening—A technique for increasing small intestinal length. J. Pediatr. Surg. 1980, 15, 145–151. [Google Scholar] [CrossRef]
- Pigot, F.; Messing, B.; Chaussade, S.; Pfeiffer, A.; Pouliquen, X.; Jian, R. Severe short bowel syndrome with a surgically reversed small bowel segment. Dig. Dis. Sci. 1990, 35, 137–144. [Google Scholar] [CrossRef]
- Kim, H.B.; Fauza, D.; Garza, J.; Oh, J.T.; Nurko, S.; Jaksic, T. Serial transverse enteroplasty (STEP): A novel bowel lengthening procedure. J. Pediatr. Surg. 2003, 38, 425–429. [Google Scholar] [CrossRef] [Green Version]
- Kimura, K.; Soper, R.T. A new bowel elongation technique for the short-bowel syndrome using the isolated bowel segment Iowa models. J. Pediatr Surg. 1993, 28, 792–794. [Google Scholar] [CrossRef]
- Devesa, J.M.; Botella-Carretero, J.I.; López Hervás, P.; Rey, A.; Die, J.; Calero, A. Ultrashort bowel syndrome: Surgical management and long-term results of an exceptional case. J. Pediatr. Surg. 2008, 43, E5–E9. [Google Scholar] [CrossRef]
- Soden, J.S. Clinical assessment of the child with intestinal failure. Semin. Pediatr. Surg. 2010, 19, 10–19. [Google Scholar] [CrossRef]
- Lang, T.; Kappler, M.; Dietz, H.; Harms, H.K.; Bertele-Harms, R. Biliary atresia: Which factors predict the success of a Kasai operation? An analysis of 36 patients. Eur. J. Med. Res. 2000, 5, 110–114. [Google Scholar] [PubMed]
- Belza, C.; Fitzgerald, K.; de Silva, N.; Avitzur, Y.; Steinberg, K.; Courtney-Martin, G.; Wales, P.W. Predicting Intestinal Adaptation in Pediatric Intestinal Failure. Ann. Surg. 2019, 269, 988–993. [Google Scholar] [CrossRef] [PubMed]
- Khalil, B.A.; Gillham, J.C.; Foresythe, L.; Harding, R.; Johnston, T.; Wright, C.; Morabito, A. Successful management of short gut due to vanishing gastroschisis—Case report and review of the literature. Ann. R. Coll. Surg. Engl. 2010, 92, W10–W13. [Google Scholar] [CrossRef] [PubMed]
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Morabito, A.; Ugolini, S.; Cianci, M.C.; Coletta, R. Current Surgical Concepts and Indications in the Management of the Short Bowel State: A Call for the Use of Multidisciplinary Intestinal Rehabilitation Programs. Children 2021, 8, 654. https://doi.org/10.3390/children8080654
Morabito A, Ugolini S, Cianci MC, Coletta R. Current Surgical Concepts and Indications in the Management of the Short Bowel State: A Call for the Use of Multidisciplinary Intestinal Rehabilitation Programs. Children. 2021; 8(8):654. https://doi.org/10.3390/children8080654
Chicago/Turabian StyleMorabito, Antonino, Sara Ugolini, Maria Chiara Cianci, and Riccardo Coletta. 2021. "Current Surgical Concepts and Indications in the Management of the Short Bowel State: A Call for the Use of Multidisciplinary Intestinal Rehabilitation Programs" Children 8, no. 8: 654. https://doi.org/10.3390/children8080654