Absent ileocecal valve predicts the need for repeated step in children

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: WFRF:(Pakarinen Mikko) > (2015-2019) > Absent ileocecal va...

6 of 6
Previous record
Next record
To hitlist

Absent ileocecal valve predicts the need for repeated step in children

Wester, Tomas (author): Karolinska Institutet

Engstrand Lilja, Helene, 1963- (author): Uppsala universitet,Barnkirurgi,Uppsala University Hospital

Stenström, Pernilla (author): Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Barnkirurgi,Forskargrupper vid Lunds universitet,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Pediatric surgery,Lund University Research Groups,Skåne University Hospital,Skane Univ Hosp, Dept Pediat Surg, Lund, Sweden.

Pakarinen, Mikko (author): Helsinki University Central Hospital,Helsinki Univ Hosp, Childrens Hosp, Pediat Liver & Gut Res Grp, Pediat Surg, Helsinki, Finland.

show less...

(creator_code:org_t)

Elsevier BV, 2017
2017
English.
In: Surgery. - : Elsevier BV. - 0039-6060 .- 1532-7361. ; 161:3, s. 818-822

Related links:: http://dx.doi.org/10...; show more...; https://helda.helsin...; https://lup.lub.lu.s...; https://doi.org/10.1...; https://urn.kb.se/re...; http://kipublication...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Background: Serial transverse enteroplasty facilitates weaning from parenteral support in selected patients with short bowel syndrome, although repeated procedure is frequently required. Our aim was to evaluate the outcome of a series of patients after serial transverse enteroplasty and define predictors of repeated serial transverse enteroplasty and weaning off parenteral support. Methods: All children who underwent serial transverse enteroplasty at 4 Nordic pediatric surgery centers from 2004-2015 were included in this observational study. Data were collected from the patient records. The study was approved by the local ethics review boards. Results: Twenty-seven children with short bowel with initial median small bowel length of 26 cm (range, 10-100 cm) were included. Eleven patients had the ileocecal valve remaining. Serial transverse enteroplasty was performed at median age of 7.5 months (range, 0.9-224 months). Serial transverse enteroplasty made the small bowel 46% (0-233%) longer. Eleven patients (41%) underwent a repeated serial transverse enteroplasty 12 months (1.0-72 months) later; 7 patients required additional operative procedures, but none were transplanted. At follow-up, 45.1 months (1.8-126 months) after the first serial transverse enteroplasty, 11 (41%) patients needed parenteral support. The remaining 16 patients had been weaned off parenteral support. One patient had died. Absence of the ileocecal valve was the only factor, which predicted the need for a repeated serial transverse enteroplasty (odds ratio 16.7, 95% confidence interval, 1.7-164.8, . P = .007). No factor was identified predicting need for parenteral support at follow-up. Conclusion: A majority of children with short bowel syndrome can be weaned from parenteral support after serial transverse enteroplasty. The absence of the ileocecal valve predicts the need for a repeated serial transverse enteroplasty, which was required by 40% of the patients.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)

Publication and Content Type

art (subject category)
ref (subject category)

Find in a library

Surgery (Search for host publication in LIBRIS)

To the university's database

6 of 6
Previous record
Next record
To hitlist

Find more in SwePub

By the author/editor: Wester, Tomas; Engstrand Lilja, ...; Stenström, Perni ...; Pakarinen, Mikko

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Pediatrics

Articles in the publication: Surgery

By the university: Lund University; Uppsala University; Karolinska Institutet

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se