PAEDIATRIC SURGERY

Combined procedures for surgical short bowel syndrome: experience from two European centres

Correction(s) for this article

Corresponding Author

Francesca Gigola MD

[email protected]

orcid.org/0000-0001-6732-4243

Department of Neurosciences, Psychology Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy

Correspondence

Ms. Francesca Gigola, Meyer's Children Hospital, University of Florence, Viale Pieraccini 24, Florence, Italy.

Email: [email protected]

Contribution: Conceptualization, Data curation, Methodology, Visualization, Writing - original draft, Writing - review & editing

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Riccardo Coletta MD, PhD,

Riccardo Coletta MD, PhD

orcid.org/0000-0003-3878-1415

Department of Neurosciences, Psychology Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy

School of Health and Society, University of Salford, Salford, UK

Contribution: Conceptualization, Data curation, Methodology, Project administration, Supervision, Writing - original draft, Writing - review & editing

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Martina Certini MD,

Martina Certini MD

Department of Neurosciences, Psychology Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy

Contribution: Data curation, Investigation, Writing - review & editing

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Marco Del Riccio MD,

Marco Del Riccio MD

orcid.org/0000-0002-2742-0297

Department of Health Sciences, University of Florence, Postgraduate School in Hygiene and Preventive Medicine, Florence, Italy

Contribution: Conceptualization, Data curation, Formal analysis, Methodology, Supervision, Writing - review & editing

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Lynette Forsythe RD, BSc,

Lynette Forsythe RD, BSc

Department of Dietetics and Nutrition, Royal Manchester Children's Hospital, Manchester, UK

Contribution: Conceptualization, Data curation, Supervision, Visualization, Writing - review & editing

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Antonino Morabito MD,

Antonino Morabito MD

orcid.org/0000-0002-5323-3620

Department of Neurosciences, Psychology Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy

School of Health and Society, University of Salford, Salford, UK

Contribution: Conceptualization, Data curation, Methodology, Project administration, Supervision, Validation, Writing - original draft, Writing - review & editing

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Francesca Gigola MD,

Corresponding Author

Francesca Gigola MD

[email protected]

orcid.org/0000-0001-6732-4243

Department of Neurosciences, Psychology Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy

Correspondence

Ms. Francesca Gigola, Meyer's Children Hospital, University of Florence, Viale Pieraccini 24, Florence, Italy.

Email: [email protected]

Contribution: Conceptualization, Data curation, Methodology, Visualization, Writing - original draft, Writing - review & editing

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Riccardo Coletta MD, PhD,

Riccardo Coletta MD, PhD

orcid.org/0000-0003-3878-1415

Department of Neurosciences, Psychology Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy

School of Health and Society, University of Salford, Salford, UK

Contribution: Conceptualization, Data curation, Methodology, Project administration, Supervision, Writing - original draft, Writing - review & editing

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Martina Certini MD,

Martina Certini MD

Department of Neurosciences, Psychology Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy

Contribution: Data curation, Investigation, Writing - review & editing

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Marco Del Riccio MD,

Marco Del Riccio MD

orcid.org/0000-0002-2742-0297

Department of Health Sciences, University of Florence, Postgraduate School in Hygiene and Preventive Medicine, Florence, Italy

Contribution: Conceptualization, Data curation, Formal analysis, Methodology, Supervision, Writing - review & editing

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Lynette Forsythe RD, BSc,

Lynette Forsythe RD, BSc

Department of Dietetics and Nutrition, Royal Manchester Children's Hospital, Manchester, UK

Contribution: Conceptualization, Data curation, Supervision, Visualization, Writing - review & editing

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Antonino Morabito MD,

Antonino Morabito MD

orcid.org/0000-0002-5323-3620

Department of Neurosciences, Psychology Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy

School of Health and Society, University of Salford, Salford, UK

Contribution: Conceptualization, Data curation, Methodology, Project administration, Supervision, Validation, Writing - original draft, Writing - review & editing

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First published: 13 December 2022

https://doi.org/10.1111/ans.18184

F. Gigola MD; R. Coletta MD, PhD; M. Certini MD; M. Del Riccio MD; L. Forsythe RD, BSc; A. Morabito MD.

Francesca Gigola and Riccardo Coletta equally contributed as co-first author.

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Abstract

Background

Autologous gastrointestinal reconstructive surgery (AGIR) has become a key component of intestinal rehabilitation programs. However, the best surgical option for short bowel syndrome (SBS) remains unknown. This paper presents our experience using combined procedures as primary treatment.

Methods

We collected data on SBS patients who underwent surgery from 2008 to 2021 in two tertiary European Centres. Combined procedures were defined as more than one technique used on the same patient. Charts were reviewed for demographics, type of procedures, complications, and outcomes. Data are presented as median and IQR. Wilcoxon signed rank was used for all paired analyses.

Results

Twenty-one children (12 females) underwent combined procedures. Preoperative median small bowel length was 20 cm (IQR: 15–35 cm); after lengthening, it was 35.5 cm (IQR: 30.75–50.50 cm) (P < 0.001). Combined procedures were simultaneous in 15 patients and sequential in 6. At a median of 9.2 years (IQR: 7.55–9.78 years) follow-up, complications were three bowel obstructions after strictures of anastomosis and two wound infections. Two patients achieved enteral autonomy, and others followed a weaning home parenteral nutrition regimen with a median of 4 nights off (IQR: 3–4 nights) starting with a median of 7 nights (IQR: 7–7 nights).

Conclusions

Combined AGIR techniques are practical and safe in SBS treatment when tailored to meet patients' needs, combining lengthening, tailoring, and reducing transit time procedures. Therefore, combined AGIR may be considered a resource in intestinal rehabilitation units' armamentarium.

Conflict of interest

None declared.

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Volume93, Issue4

April 2023

Pages 1012-1016

Combined procedures for surgical short bowel syndrome: experience from two European centres

Correction(s) for this article

Correction to “Combined procedures for surgical short bowel syndrome: experience from two European centres”

Abstract

Background

Methods

Results

Conclusions

Conflict of interest

References

References

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Combined procedures for surgical short bowel syndrome: experience from two European centres

Correction(s) for this article

Correction to “Combined procedures for surgical short bowel syndrome: experience from two European centres”

Abstract

Background

Methods

Results

Conclusions

Conflict of interest

References

References

Related

Information