Early bowel lengthening procedures : bi-institutional experience and review of the literature

Negri, E ORCID: https://orcid.org/0000-0002-1628-7048, Coletta, R ORCID: https://orcid.org/0000-0003-3878-1415, Forsythe, L, Gigola, F ORCID: https://orcid.org/0000-0001-6732-4243, Cianci, MC ORCID: https://orcid.org/0000-0003-1907-0431 and Morabito, A ORCID: https://orcid.org/0000-0002-5323-3620 2022, 'Early bowel lengthening procedures : bi-institutional experience and review of the literature' , Children, 9 (2) , e221.

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Abstract

Early bowel lengthening procedure (EBLP) has been defined as any bowel lengthening procedure performed before six months of age. The purpose of this paper is to compare our experience with literature on this subject to identify common indications. A bi-institutional retrospective analysis was performed. Diagnosis, type of surgery, age at procedure and outcomes were analysed. Eleven EBLP were performed in Manchester and Florence from 2006 to 2021. The median age at surgery was 126 days (102−180), pre-operative median short bowel (SB) length was 28 cm (17−49) with a post-operative median increase of 81%. Furthermore, a PubMed/Embase search was undertaken regarding bowel lengthening procedures performed in the last 40 years. Sixty-one EBLP were identified. The median age was 60 days (1−90). Serial transverse enteroplasty (STEP) was the most frequent procedure used, with a median increased bowel length of 57%. This study confirms that no clear consensus on indication or timing to perform early SB lengthening is reported. According to the gathered data, EBLP should be considered only in cases of actual necessity and performed in a qualified intestinal failure centre.

Item Type: Article
Contributors: Schleef, J (Editor)
Additional Information: ** From MDPI via Jisc Publications Router ** Licence for this article: https://creativecommons.org/licenses/by/4.0/ **Journal IDs: eissn 2227-9067 **History: published 07-02-2022; accepted 03-02-2022
Schools: Schools > School of Health and Society
Journal or Publication Title: Children
Publisher: MDPI
ISSN: 2227-9067
Related URLs:
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 10 Feb 2022 09:03
Last Modified: 15 Feb 2022 16:47
URI: https://usir.salford.ac.uk/id/eprint/63144

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