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

• Published in: Boletin medico del Hospital Infantil de Mexico Vol. 81; no. 1; p. 23
• Main Authors: García-Cárdenas, Eustorgio S, Nuñez-Barrera, Isela, Miranda-Lora, América L, Bolaños-Pérez, Juan J, López-Rodríguez, Rosalinda, Briseño-Chavarria, Norma, Villalpando-Carrión, Salvador
• Format: Journal Article
• Language: English; Spanish
• Published: Mexico Permanyer 01.01.2024
• Subjects: Child; Child, Preschool; Cross-Sectional Studies; Female; Humans; Jejunoileal Bypass - adverse effects; Male; Mexico; Retrospective Studies; Short Bowel Syndrome - etiology; Short Bowel Syndrome - surgery; Short bowel syndrome. Intestinal failure. Prolonged parenteral nutrition. Intestinal bypass technique. Pediatric population; Mexico; Prolonged parenteral nutrition; Insuficiencia intestinal; Intestinal failure; Intestinal bypass technique; Síndrome de intestino corto; Short bowel syndrome; Pediatric population; Técnica de puenteo intestinal; Nutrición parenteral prolongada; Población pediátrica
• ISSN: 0539-6115; 1665-1146
• DOI: 10.24875/BMHIM.23000110

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. 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. 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. 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.