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Early bowel lengthening procedures : bi-institutional experience and review of the literature

Negri, E; Coletta, R; Forsythe, L; Gigola, F; Cianci, MC; Morabito, A

Early bowel lengthening procedures : bi-institutional experience and review of the literature Thumbnail


Authors

E Negri

R Coletta

L Forsythe

F Gigola

MC Cianci

A Morabito



Contributors

J Schleef
Editor

Abstract

Early bowel lengthening procedure (EBLP) has been defined as any bowel lengthening procedure performed before six months of age. The purpose of this paper is to compare our experience with literature on this subject to identify common indications. A bi-institutional retrospective analysis was performed. Diagnosis, type of surgery, age at procedure and outcomes were analysed. Eleven EBLP were performed in Manchester and Florence from 2006 to 2021. The median age at surgery was 126 days (102−180), pre-operative median short bowel (SB) length was 28 cm (17−49) with a post-operative median increase of 81%. Furthermore, a PubMed/Embase search was undertaken regarding bowel lengthening procedures performed in the last 40 years. Sixty-one EBLP were identified. The median age was 60 days (1−90). Serial transverse enteroplasty (STEP) was the most frequent procedure used, with a median increased bowel length of 57%. This study confirms that no clear consensus on indication or timing to perform early SB lengthening is reported. According to the gathered data, EBLP should be considered only in cases of actual necessity and performed in a qualified intestinal failure centre.

Citation

Negri, E., Coletta, R., Forsythe, L., Gigola, F., Cianci, M., & Morabito, A. (2022). Early bowel lengthening procedures : bi-institutional experience and review of the literature. Children, 9(2), e221. https://doi.org/10.3390/children9020221

Journal Article Type Article
Acceptance Date Feb 3, 2022
Publication Date Feb 7, 2022
Deposit Date Feb 10, 2022
Publicly Available Date Feb 10, 2022
Journal Children
Publisher MDPI
Volume 9
Issue 2
Pages e221
DOI https://doi.org/10.3390/children9020221
Publisher URL https://doi.org/10.3390/children9020221
Related Public URLs https://www.mdpi.com/journal/children
Additional Information Additional Information : ** From MDPI via Jisc Publications Router ** Licence for this article: https://creativecommons.org/licenses/by/4.0/ **Journal IDs: eissn 2227-9067 **History: published 07-02-2022; accepted 03-02-2022

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