Continuous extracorporeal stool-transport system: a new and economical procedure for transitory short-bowel syndrome in prematures and newborns

Between May 1994 and June 1995, nine newborns underwent surgery due to mechanical ileus or intrauterine perforation of the small bowel. Three were very-low-birth-weight infants weighing between 520 and 1,200 g. Surgery was performed in the first 2 days of life and split ileo- or jejunostomas were im...

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Hauptverfasser: Schäfer, Klemens (VerfasserIn) , Zachariou, Zacharias (VerfasserIn) , Löffler, W. (VerfasserIn) , Daum, Roland (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 1997
In: Pediatric surgery international
Year: 1997, Jahrgang: 12, Heft: 1, Pages: 73-75
ISSN:1437-9813
DOI:10.1007/BF01194811
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/BF01194811
Volltext
Verfasserangaben:K. Schäfer, Z. Zachariou, W. Löffler, R. Daum

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520 |a Between May 1994 and June 1995, nine newborns underwent surgery due to mechanical ileus or intrauterine perforation of the small bowel. Three were very-low-birth-weight infants weighing between 520 and 1,200 g. Surgery was performed in the first 2 days of life and split ileo- or jejunostomas were implanted. Early oral nutrition was initiated. To avoid non-use of the distal bowel and shortbowel syndrome, the aboral stoma was irrigated a few days later with the proximal feces. A new technique was applied to transport the chyle continuously from the oral to the aboral stoma: the stool was collected in an especially constructed stoma bag and transported distally by a roller pump. No major complications were seen. The general outcome was excellent in all cases, and reanastomosis under optimal bowel conditions was achieved in all patients without further problems. 
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650 4 |a Intestinal feeding 
650 4 |a Mechanical ileus 
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