Usefulness and description of the intestinal bypass technique in children with short bowel syndrome: report of a Mexican cohort

• Main Authors: Eustorgio S. García-Cárdenas (Author), Isela Nuñez-Barrera (Author), América L. Miranda-Lora (Author), Juan J. Bolaños-Perez (Author), Rosalinda Lopez-Rodriguez (Author), Norma Briseño-Chavarria (Author), Salvador Villalpando-Carrión (Author)
• Format: Book
• Published: Permanyer, 2024-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 10.24875/BMHIM.23000110; 0539-6115
• Keywords: Short bowel syndrome. Intestinal failure. Prolonged parenteral nutrition. Intestinal bypass technique. Pediatric population.; Pediatrics; RJ1-570; Public aspects of medicine; RA1-1270
• Source: Boletín Médico del Hospital Infantil de México, Vol 81, Iss 1 (2024)

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.