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January 1982, Vol 136, No. 1 >
Article | January 1982

Survival After Massive Small Intestinal Resection in a Neonate FREE

DAVID HOLT, MD; DAVID EASA, MD; WALTON SHIM, MD; MITSUAKI SUZUKI, MD
Am J Dis Child. 1982;136(1):79-80. doi:10.1001/archpedi.1982.03970370081026.
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Massive resection of necrotic areas of the small intestine may be required in the treatment of catastrophic gastrointestinal emergencies in the newborn infant, including necrotizing enterocolitis, multiple intestinal atresias, and malrotation with volvulus. The potential for survival following such massive surgery depends on the site and extent of the resection.1 However, the minimum length of residual small intestine required for survival remains in question. We describe herein the survival of a child with only 12 cm of small intestine following resection in the neonatal period. She is now healthy and developmentally normal at 26 months of age.

Report of a Case.—A full-term, 3,300-g, female infant was born on July 20, 1978, without complications to a gravida 3, para 2, 31-year-old woman. At 23 hours of age, emesis and abdominal distention developed, followed by tachypnea and systemic hypotension. A roentgenogram of the abdomen showed moderate distention of the proximal

REFERENCES

1 +
Wilmore DW:  Factors correlating with a successful outcome following extensive intestinal resection in newborn infants . J Pediatr 1972;; 80:88-95.
2 +
National Center for Health Statistics Growth Charts, 1976 . Monthly Vital Statistics Report, vol 25, No. 3, (suppl (HRA)) 76-1120.
3 +
Touloukian RJ:  Intestinal atresia . Clin Perinatol 1978;;5:17.
4 +
Tepas JJ, MacLean WC, Kolbach S, et al:  Total management of short gut secondary to midgut volvulus without prolonged total parenteral alimentation . J Pediatr Surg 1978;;13:622-626.
5 +
Williamson RCN:  Medical progress: Intestinal adaptation . N Engl J Med 1978;;298:1393-1402.
6 +
Hofman AF, Poley JR:  Role of the bile acid malabsorption in pathogenesis of diarrhea and steatorrhea in patients with ileal resection . Gastroenterology 1972;;62:918-934.
7 +
Riella MC, Scribner BH:  Five years experience with a right atrial catheter for prolonged parenteral nutrition at home . Surg Gynecol Obstet 1976;;143:205-209.
8 +
Cannon RA, Byrne WG, Ament ME, et al:  Home parenteral nutrition in infants . J Pediatr 1980;;96:1098-1104.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Wilmore DW:  Factors correlating with a successful outcome following extensive intestinal resection in newborn infants . J Pediatr 1972;; 80:88-95.
2 +
National Center for Health Statistics Growth Charts, 1976 . Monthly Vital Statistics Report, vol 25, No. 3, (suppl (HRA)) 76-1120.
3 +
Touloukian RJ:  Intestinal atresia . Clin Perinatol 1978;;5:17.
4 +
Tepas JJ, MacLean WC, Kolbach S, et al:  Total management of short gut secondary to midgut volvulus without prolonged total parenteral alimentation . J Pediatr Surg 1978;;13:622-626.
5 +
Williamson RCN:  Medical progress: Intestinal adaptation . N Engl J Med 1978;;298:1393-1402.
6 +
Hofman AF, Poley JR:  Role of the bile acid malabsorption in pathogenesis of diarrhea and steatorrhea in patients with ileal resection . Gastroenterology 1972;;62:918-934.
7 +
Riella MC, Scribner BH:  Five years experience with a right atrial catheter for prolonged parenteral nutrition at home . Surg Gynecol Obstet 1976;;143:205-209.
8 +
Cannon RA, Byrne WG, Ament ME, et al:  Home parenteral nutrition in infants . J Pediatr 1980;;96:1098-1104.

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