Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Population
3.2. Indication and Type of Surgery
3.3. Postoperative Course
3.4. Follow-Up
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Parameter | Study Population (n = 41) | Midgut Atresia (n = 21) |
---|---|---|
Median GA at birth (WA) (IQR) | 33 (7) [24.3–40.3] | 35 (5) [29.5–40] |
Median birth weight (g) (IQR) | 2035 (1391) [660–4175] | 2360 (806) [1285–4175] |
Indication for SP | ||
NEC | 12/41 (29%) | 0 |
Intestinal atresia | 21/41 (51%) | 21/21 (100%) |
Midgut volvulus | 4/41 (10%) | 0 |
Hirschsprung’s disease | 2/41 (5%) | 0 |
Bowel perforation | 2/41 (5%) | 0 |
Median age at SP (days) (IQR) | 37 (90) [0–335] | 1 (5) [0–180] |
Median weight at SP (days) (IQR) | 2975 (1488) [1400–7600] | 2455 (1126) [1400–7600] |
Median DJF–Santulli distance (cm) (IQR) | 61 (84) [11–230] | 44 (87) [11–230] |
Median Santulli–ICV distance (cm) (IQR) | 28 (67) [0–147] | 65 (95) [0–147] |
SP as primary surgery | 23/41 (56%) | 17/21 (81%) |
Median number of surgeries prior to SP | 1.4 [0–5] | 0.7 [0–3] |
Parameter | Study Population (n = 41) | Midgut Atresia (n = 21) |
---|---|---|
Stoma complication | ||
Stoma prolapse | 4/41 (10%) | 2/21 (10%) |
Stoma stricture | 0 | 0 |
Median time to first anal stool (days) (IQR) | 9 (8) [2–36] | 11 (9) [4–30] |
Median time to stoma closure after SP (days) (IQR) * | 45 (48) [17–270] | 39 (33) [21–240] |
Median age at stoma closure (days) (IQR) * | 81 (76) [25–540] | 43 (36) [25–420] |
Median weight at stoma closure (g) (IQR) * | 4010 (1389) [2500–10700] | 3540 (990) [2500–5140] |
Median time to effective transit after stoma closure (days) (IQR) * | 2 (2) [1–6] | 2 (2) [1–6] |
Median time to hospital discharge after stoma closure (days) (IQR) * | 14 (21) [2–126] | 13 (25) [2–126] |
Median time to full enteral feeding (days) (IQR) * | 4 (8) [1–182] | 4 (3) [1–40] |
Median time to full oral intake (days) (IQR) * | 4 (10) [1–556] | 4 (27) [1–556] |
Need for nutritional support * | ||
Tube feeding dependence | 1/39 (3%) | 1/19 (5%) |
PN dependence | 3/39 (8%) | 1/19 (5%) |
Need for subsequent surgery * | 3/39 (8%) | 2/19 (11%) |
Median hospital stay following SP (days) (IQR) * | 53 (41) [11–326] | 52 (33) [11–216] |
Survival | 39/41 (94%) | 19/21 (90%) |
Median follow-up (years) (IQR) * | 2.9 (1.5) [0.7–7.2] | 3.1 (3.5) [1.0–7.2] |
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Vinit, N.; Rousseau, V.; Broch, A.; Khen-Dunlop, N.; Hachem, T.; Goulet, O.; Sarnacki, S.; Beaudoin, S. Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience. Children 2022, 9, 84. https://doi.org/10.3390/children9010084
Vinit N, Rousseau V, Broch A, Khen-Dunlop N, Hachem T, Goulet O, Sarnacki S, Beaudoin S. Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience. Children. 2022; 9(1):84. https://doi.org/10.3390/children9010084
Chicago/Turabian StyleVinit, Nicolas, Véronique Rousseau, Aline Broch, Naziha Khen-Dunlop, Taymme Hachem, Olivier Goulet, Sabine Sarnacki, and Sylvie Beaudoin. 2022. "Santulli Procedure Revisited in Congenital Intestinal Malformations and Postnatal Intestinal Injuries: Preliminary Report of Experience" Children 9, no. 1: 84. https://doi.org/10.3390/children9010084