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Boletín médico del Hospital Infantil de México
versão impressa ISSN 1665-1146
Resumo
GARCIA-CARDENAS, Eustorgio S. et al. Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohort. Bol. Med. Hosp. Infant. Mex. [online]. 2024, vol.81, n.1, pp.23-30. Epub 30-Abr-2024. ISSN 1665-1146. https://doi.org/10.24875/bmhim.23000110.
Background:
Short bowel syndrome (SBS) is one of the most frequent causes of intestinal failure, needing parenteral nutrition to maintain an energy-protein and water-electrolyte balance. At the Hospital Infantil de México Federico Gómez (HIMFG), the formation of two stomas is a technique used for intestinal rehabilitation, where the use of residue through the bypass technique (BT) helps to maintain gastrointestinal functionality, water-electrolyte, and nutritional stability. This study aimed to describe the technique of using intestinal residue through BT as a treatment strategy in intestinal rehabilitation and its effect on the biochemical and nutritional status of pediatric patients with SBS.
Methods:
An analytical and retrospective cross-sectional study was performed in patients hospitalized at HIMFG with SBS who underwent BT during their hospital stay between 2019 and 2020 and then followed up for 8 weeks.
Results:
A total of 10 patients were included in this study, with a mean age of 24 months; 50% were female. BT was able to reduce the inflammatory process in the liver caused by the continuous use of parenteral nutrition; enteral caloric intake increased from 25.32 kcal/kg/day to 72.94 kcal/kg/day, but it was insufficient to improve their nutritional status.
Conclusions:
BT is a safe and effective alternative in intestinal rehabilitation in patients with SBS to stimulate trophism and intestinal functionality, allowing a progression of enteral feeding and a decrease in the hepatic inflammatory process that occurs in these patients with prolonged parenteral nutrition.
Palavras-chave : Short bowel syndrome; Intestinal failure; Prolonged parenteral nutrition; Intestinal bypass technique; Pediatric population.