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Alternative technique to save ischemic bowel segment in management of neonatal short bowel syndrome: A case report

World Journal of Clinical Cases 2019年第20期7卷 3353-3357页

作者： Lei Geng Lei Zhou Guo-Jian Ding Xiao-Liang Xu Yu-Mei Wu Ji-Jun Liu Ting-Liang Fu Department of Pediatric Surgery Binzhou Medical University HospitalBinzhou 256603Shandong ProvinceChina Department of Hepatobiliary Surgery Binzhou Medical University HospitalBinzhou 256603Shandong ProvinceChina Department of Neonatology Binzhou Medical University HospitalBinzhou 256603Shandong ProvinceChina Department of Anorectal Surgery Binzhou Medical University HospitalBinzhou 256603Shandong ProvinceChina

BACKGROUND Congenital short bowel syndrome(SBS)associated with malrotation,gut volvulus and jejuno-ileal atresia is a very rare *** is a severe challenge for surgeons to preserve residual ischemic bowel segment in the management of short bowel syndrome,especially in *** SUMMARY We report a newborn baby with gut malrotation associated with jejuno-ileal atresia,congenital SBS and jejunal *** and abdominal distention were *** laparotomy,malrotation associated with jejuno-ileal atresia,congenital SBS and jenunal volvulus was *** total length of the small bowel was 63 cm with proximal jejunal bowel segment measuring 38 cm,including 18 cm necrotic segment below the Treitz’s ligament and 20 cm severe ischemic *** distal part of the small bowel was 25 cm in length and only about 0.8 cm in ***’s procedure,necrotic segment resection and end-to-back duodeno-ileal anastomosis were *** residual severe ischemic jejunum was preserved with single proximal stoma and distal end *** months later,to restore the continuity of the isolated gut segment,end-to-end duodeno-jejunal and jejuno-ileal anastomosis was *** entire functional small bowel length increased to 80 *** fluid therapy and parenteral nutrition were discontinued on the 10th day *** months later,her body weight was 9.5 *** Isolation of severe ischemic bowel segment and staged anastomosis to restore the gut continuity for infants with SBS are safe and feasible.

关键词： Ischemic bowel segment Short bowel syndrome Bowel isolation technique Staged salvaging procedure Case report

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