Results of Autologous Gastrointestinal Reconstruction Surgery in Patients with Intestinal Failure Associated with Short Intestine Syndrome

2017 ◽  
Vol 101 ◽  
pp. S124
Author(s):  
Eduardo Huaman ◽  
Sergio Zegarra
Keyword(s):  
Intestinal Failure ◽  
Reconstruction Surgery ◽  
Gastrointestinal Reconstruction

scholarly journals Short bowel syndrome in infancy: recent advances and practical management

2020 ◽  
pp. flgastro-2020-101457
Author(s):  
Elena Cernat ◽  
Chloe Corlett ◽  
Natalia Iglesias ◽  
Nkem Onyeador ◽  
Julie Steele ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Short Bowel Syndrome ◽  
Intestinal Adaptation ◽  
Intestinal Failure ◽  
Rare Condition ◽  
Oral Feeding ◽  
Short Bowel ◽  
Intestinal Continuity ◽  
Gastrointestinal Reconstruction ◽  
Lipid Reduction

Short bowel syndrome (SBS) is a rare condition characterised by extensive loss of intestinal mass secondary to congenital or acquired disease. The outcomes are determined by dependency on parenteral nutrition (PN), its possible complications and factors that influence intestinal adaptation. In order to achieve the best results, patients should be managed by a specialised multidisciplinary team with the aims of promoting growth and development, stimulating intestinal adaptation and preventing possible complications. This involves timely surgical management aimed at rescuing maximum bowel length and eventually re-establishing intestinal continuity where appropriate. A combination of enteral and parenteral nutrition needs to be targeted towards maintaining a balance between fulfilling the nutritional and metabolic needs of the child while preventing or at least minimising potential complications. Enteral nutrition and establishment of oral feeding play a fundamental role in stimulating bowel adaptation and promoting enteral autonomy. Other measures to promote enteral autonomy include the chyme recycling in patients where bowel is not in continuity, autologous gastrointestinal reconstruction and pharmacological treatments, including promising new therapies like teduglutide. Strategies such as lipid reduction, changing the type of lipid emulsion and cycling PN are associated with a reduction in the rates of intestinal failure–associated liver disease. Even though vast improvements have been made in the surgical and medical management of SBS, there is still lack of consensus in many aspects and collaboration is essential.

Autologous intestinal reconstruction surgery for intestinal failure management

2010 ◽  
Vol 15 (3) ◽  
pp. 341-345 ◽  
Author(s):  
Brian A Jones ◽  
Melissa A Hull ◽  
Heung Bae Kim
Keyword(s):  
Intestinal Failure ◽  
Reconstruction Surgery

scholarly journals Lessons learned from successful autologous gastrointestinal reconstruction in patients with intestinal failure: a case series

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kiarash Ashrafzadeh ◽  
Mojtaba Shafiekhani ◽  
Nazanin Azadeh ◽  
Maryam Esmaeili ◽  
Hamed Nikoupour
Keyword(s):  
Intestinal Failure ◽  
Case Series ◽  
Intestinal Transplantation ◽  
Operative Management ◽  
Severe Form ◽  
Lessons Learned ◽  
Ulcer Bleeding ◽  
Fistula Formation ◽  
Complications Of Surgery ◽  
Gastrointestinal Reconstruction

Abstract Background Intestinal failure (IF) is a rare but severe form of organ failure. The condition is defined as body’s inability to absorb adequate fluids, macronutrients and minerals for growth and development, so that intravenous supplementation is necessary. A broad spectrum of diseases, trauma and complications of surgery might eventually end up with intestinal failure. Nowadays, intestinal failure patients are preferably cared for in intestinal rehabilitation units (IRU). Autologous gastrointestinal reconstruction (AGIR) refers to non-transplant operative management of IF patients designed to improve enteral tolerance and gut absorptive capacity. Case presentation Herein we present five cases with complications of surgeries due to peptic ulcer bleeding, blunt abdominal trauma, obesity and gastric tumor. The surgeries were complicated by anastomotic leak, peritonitis and fistula formation. By adopting multidisciplinary decisions and special care for each complication, all the five patients were successfully managed and discharged. Discussion and conclusions As presented, re-anastomosis in presence of abdominal contamination will probably fail. In patients with intestinal failure, PN should start as soon as possible to increase the success rate of future surgeries and prevent potential need for intestinal transplantation. We suggest referring patients with complicated outcomes of gastrointestinal surgeries to the IRUs to reduce morbidity and mortality.

Autologous Gastrointestinal Reconstruction (AGR) for Patients with Enterocutaneous Fistula - associated intestinal failure

2017 ◽  
Vol 101 ◽  
pp. S49
Author(s):  
Ruy J. Cruz ◽  
Jenee McGurgan ◽  
William Stein ◽  
Laurie Butera ◽  
Armando Ganoza ◽  
...  
Keyword(s):  
Enterocutaneous Fistula ◽  
Intestinal Failure ◽  
Gastrointestinal Reconstruction

Zabiegi likwidujące skutki obrzezania wykonywane w Warszawie w czasie drugiej wojny światowej. Wstępna próba opisu zjawiska

2017 ◽  
pp. 437-446
Author(s):  
Maria Ciesielska
Keyword(s):  
Second World War ◽  
Tissue Preparation ◽  
World War ◽  
Medical Practitioners ◽  
Reconstruction Surgery ◽  
Repair Operation ◽  
Manual Treatment ◽  
Operating Technique ◽  
Almost All ◽  
Second World

Men’s circumcision is in many countries considered as a hygienic-cosmetic or aesthetic treatment. However, it still remains in close connection with religious rites (Judaism, Islam) and is still practiced all over the world. During the Second World War the visible effects of circumcision became an indisputable evidence of being a Jew and were often used especially by the so-called szmalcownicy (blackmailers). Fear of the possibility of discovering as non-Aryan prompted many Jews hiding on the so-called Aryan side of Warsaw to seek medical practitioners who would restore the condition as it was before the circumcision. The reconstruction surgery was called in surgical jargon “knife baptizing”. Almost all of the procedures were performed by Aryan doctors although four cases of hiding Jewish doctors participating in such procedures are known. Surgical technique consisted of the surgical formation of a new foreskin after tissue preparation and stretching it by manual treatment. The success of the repair operation depended on the patient’s cooperation with the doctor, the worst result was in children. The physicians described in the article and the operating technique are probably only a fragment of a broader activity, described meticulously by only one of the doctors – Dr. Janusz Skórski. This work is an attempt to describe the phenomenon based on the very scanty source material, but it seems to be the first such attempt for several decades.

Sign in / Sign up

Export Citation Format

Share Document