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Massive Small Bowel Resection in a Neonate: Four-Year Follow-Up

Massive Small Bowel Resection in a Neonate: Four-Year Follow-Up Abstract • All but 17 cm of small intestine was removed in the neonatal period from a child now aged 4 years. Satisfactory growth was achieved by 2 years of age without prolonged intravenous hyperalimentation. On return to his home environment progress was not maintained, and by 4 years of age, mental and physical retardation were found. Cholestyramine resin was beneficial In reducing stool bulk but had no substantial effect on fat absorption. Compensatory changes in the remaining bowel are recorded. (Arch Surg 110:1485-1490, 1975) References 1. Pilling GP, Cresson SL: Massive resection of the small intestine in the newborn period . Pediatrics 19:940-948, 1957. 2. Benson CD, Lloyd JR, Krabbenhuft KL: The surgical and metabolic aspects of massive small bowel resection in the newborn . J Pediatr Surg 2:227-240, 1967.Crossref 3. Young WF, Swain VAJ, Pringle EM: Long-term prognosis after major resection of small bowel in early infancy . Arch Dis Child 44:465-470, 1969.Crossref 4. Rickham PP: Massive small intestinal resection in newborn infants . Ann R Coll Surg Engl 41:480-492, 1967. 5. Wilmore DW: Factors correlating with a successful outcome following extensive intestinal resection in newborn infants . J Pediatr 80:88-95, 1972.Crossref 6. Sherman JO, Egan T, Macalad FV: Parenteral hyperalimentation: A useful surgical adjunct . Surg Clin North Am 51:37-47, 1971. 7. Dudrick SJ, Groff DB, Wilmore DW: Long-term venous catheterization in infants . Surg Gynecol Obstet 129:805-808, 1969. 8. Althausen TL, Doig RK, Uyeyama K, et al: Digestion and absorption after massive resection of the small intestine . Gastroenterology 16:126-139, 1950. 9. Pullen JM: Massive intestinal resection . Proc R Soc Med 52:31-37, 1959. 10. Zurier RB, Campbell RG, Hashim SA, et al: Use of medium chain triglyceride in management of patients with massive resection of the small intestine . N Engl J Med 274:490-493, 1966.Crossref 11. Frederick PL, Sizer JS, Osborne MP: Relation of massive bowel resection to gastric secretion . N Engl J Med 272:509-514, 1965.Crossref 12. Mekhjian HS, Phillips SF, Hofmann AF: Specific bile acids provoke excretion of electrolytes and water in human colon , abstracted. Clin Res 17:307, 1969. 13. Hofmann AF, Poley JR: Cholestyramine treatment of diarrhea associated with ileal resection . N Engl J Med 281:397-402, 1969.Crossref 14. Flint JM: The effect of extensive resections of the small intestine . Johns Hopkins Hosp Bull 23:127, 1912. 15. Booth CC, Evans KT, Menzies T, et al: Intestinal hypertrophy following partial resection of the small bowel in the rat . Br J Surg 46:403-410, 1959.Crossref 16. Bell MJ, Martin LW, Schubert WK, et al: Massive small bowel resection in an infant: Long-term management and intestinal adaptation . J Pediatr Surg 8:197-204, 1973.Crossref 17. Wilkinson AW, Hughes EA, Toms DA: Massive resection of the small intestine in infancy . Br J Surg 50:715-730, 1963.Crossref 18. Winchester DP, Dorsey JM: Intestinal segments and pouches in gastrointestinal surgery . Surg Gynecol Obstet 132:131-147, 1971. 19. Cywes S: The surgical management of massive bowel resection . J Pediatr Surg 3:740-748, 1968.Crossref 20. Nelson WE, Vaughan VC, McKay RJ: Textbook of Pediatrics . Philadelphia, WB Saunders Co, 1969, p 1171. 21. Nutrition and the developing brain . Lancet 2:1349-1350, 1972. 22. Dudrick SJ, Wilmore DW, Vars HM, et al: Can intravenous feeding as the sole means of nutrition support growth in the child and restore weight loss in an adult? An affirmative answer . Ann Surg 169:974-984, 1969.Crossref 23. Wilmore DW, Dudrick SJ, Daly JM, et al: The role of nutrition in the adaptation of the small intestine after massive resection . Surg Gynecol Obstet 132:673-680, 1971. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Massive Small Bowel Resection in a Neonate: Four-Year Follow-Up

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References (30)

Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360180055012
Publisher site
See Article on Publisher Site

Abstract

Abstract • All but 17 cm of small intestine was removed in the neonatal period from a child now aged 4 years. Satisfactory growth was achieved by 2 years of age without prolonged intravenous hyperalimentation. On return to his home environment progress was not maintained, and by 4 years of age, mental and physical retardation were found. Cholestyramine resin was beneficial In reducing stool bulk but had no substantial effect on fat absorption. Compensatory changes in the remaining bowel are recorded. (Arch Surg 110:1485-1490, 1975) References 1. Pilling GP, Cresson SL: Massive resection of the small intestine in the newborn period . Pediatrics 19:940-948, 1957. 2. Benson CD, Lloyd JR, Krabbenhuft KL: The surgical and metabolic aspects of massive small bowel resection in the newborn . J Pediatr Surg 2:227-240, 1967.Crossref 3. Young WF, Swain VAJ, Pringle EM: Long-term prognosis after major resection of small bowel in early infancy . Arch Dis Child 44:465-470, 1969.Crossref 4. Rickham PP: Massive small intestinal resection in newborn infants . Ann R Coll Surg Engl 41:480-492, 1967. 5. Wilmore DW: Factors correlating with a successful outcome following extensive intestinal resection in newborn infants . J Pediatr 80:88-95, 1972.Crossref 6. Sherman JO, Egan T, Macalad FV: Parenteral hyperalimentation: A useful surgical adjunct . Surg Clin North Am 51:37-47, 1971. 7. Dudrick SJ, Groff DB, Wilmore DW: Long-term venous catheterization in infants . Surg Gynecol Obstet 129:805-808, 1969. 8. Althausen TL, Doig RK, Uyeyama K, et al: Digestion and absorption after massive resection of the small intestine . Gastroenterology 16:126-139, 1950. 9. Pullen JM: Massive intestinal resection . Proc R Soc Med 52:31-37, 1959. 10. Zurier RB, Campbell RG, Hashim SA, et al: Use of medium chain triglyceride in management of patients with massive resection of the small intestine . N Engl J Med 274:490-493, 1966.Crossref 11. Frederick PL, Sizer JS, Osborne MP: Relation of massive bowel resection to gastric secretion . N Engl J Med 272:509-514, 1965.Crossref 12. Mekhjian HS, Phillips SF, Hofmann AF: Specific bile acids provoke excretion of electrolytes and water in human colon , abstracted. Clin Res 17:307, 1969. 13. Hofmann AF, Poley JR: Cholestyramine treatment of diarrhea associated with ileal resection . N Engl J Med 281:397-402, 1969.Crossref 14. Flint JM: The effect of extensive resections of the small intestine . Johns Hopkins Hosp Bull 23:127, 1912. 15. Booth CC, Evans KT, Menzies T, et al: Intestinal hypertrophy following partial resection of the small bowel in the rat . Br J Surg 46:403-410, 1959.Crossref 16. Bell MJ, Martin LW, Schubert WK, et al: Massive small bowel resection in an infant: Long-term management and intestinal adaptation . J Pediatr Surg 8:197-204, 1973.Crossref 17. Wilkinson AW, Hughes EA, Toms DA: Massive resection of the small intestine in infancy . Br J Surg 50:715-730, 1963.Crossref 18. Winchester DP, Dorsey JM: Intestinal segments and pouches in gastrointestinal surgery . Surg Gynecol Obstet 132:131-147, 1971. 19. Cywes S: The surgical management of massive bowel resection . J Pediatr Surg 3:740-748, 1968.Crossref 20. Nelson WE, Vaughan VC, McKay RJ: Textbook of Pediatrics . Philadelphia, WB Saunders Co, 1969, p 1171. 21. Nutrition and the developing brain . Lancet 2:1349-1350, 1972. 22. Dudrick SJ, Wilmore DW, Vars HM, et al: Can intravenous feeding as the sole means of nutrition support growth in the child and restore weight loss in an adult? An affirmative answer . Ann Surg 169:974-984, 1969.Crossref 23. Wilmore DW, Dudrick SJ, Daly JM, et al: The role of nutrition in the adaptation of the small intestine after massive resection . Surg Gynecol Obstet 132:673-680, 1971.

Journal

Archives of Surgery – American Medical Association

Published: Dec 1, 1975

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