Interposition of a Reversed Jejunal Segment Enhances Intestinal Adaptation in Short Bowel Syndrome: An Experimental Study on Pigs

Digalakis, M.; Papamichail, Michail; Glava, Chryssoula; Grammatoglou, Xanthippi; Sergentanis, Theodoros N.; Papalois, Αpostolos; Bramis, John

doi:10.1016/j.jss.2010.06.035

Cited by 21 publications

(41 citation statements)

References 39 publications

(53 reference statements)

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“…The majority of studies used domestic pigs or piglets [5,13,16,17,18,19] mainly of female gender [10,13,16,18,20,21,22,23,24,25,26,27,28,29]. Regarding the exact breed, mostly landrace [10,21,22,30,31] or landrace × large white [5,13,16,20,24,26,32,33,34] animals were used.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the exact breed, mostly landrace [10,21,22,30,31] or landrace × large white [5,13,16,20,24,26,32,33,34] animals were used. SBS models were seldom described in other types of pig [7,23].…”

Section: Resultsmentioning

confidence: 99%

“…In some cases, the pigs were younger than 7 days [21,29,34,37], but in most cases they were between 3 and 8 weeks [13,16,18,20,24,26,27,28,32,33]. In rare cases, older pigs (3-7 months) were chosen [5,7]. Few authors used animals with less than 10 kg body weight [29,34,35], with the majority of animal models weighing 10-30 kg.…”

Section: Resultsmentioning

confidence: 99%

“…The incidence of SBS is increasing [3] and varies between 2 and 5 patients per million [1,2,4]. As total enteral alimentation is not possible in SBS patients, nutrition must be provided parenterally at least partially [1,5]. The 5-year survival rate for patients receiving parental nutrition (PN) is 63% [6].…”

Section: Introductionmentioning

confidence: 99%

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Models of Short Bowel Syndrome in Pigs: A Technical Review

Weih

Nickkholgh²,

Keßler³

et al. 2013

Eur Surg Res

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Background: Short bowel syndrome (SBS) is still a life-threatening disease in both children and adults. Although the therapeutic options are improving, challenges still remain, and to overcome these challenges is a major focus of SBS research today. In order to simulate anatomical and physiological conditions similar to those in humans for research, porcine models of SBS are often used. Various approaches for generating SBS models have been described in the literature. Methods/Results: In this work, we present a review of different types of porcine models of SBS and outline the differences between those models regarding types of animals, surgical procedures, monitoring, and methods of assessment. Conclusion: The aim of this study was to select the most suitable SBS model regarding the purpose of the research.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Models of Short Bowel Syndrome in Pigs: A Technical Review

Weih

Nickkholgh²,

Keßler³

et al. 2013

Eur Surg Res

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“…1 Surgical management of SBS focuses on the principles of bowel conservation and restoration of intestinal continuity, which includes a variety of procedures designed to delay intestinal transit, taper dilated intestine, lengthen the bowel, or replace the lost bowel with an intestinal transplant. 2,3 However, conservation principles often give way to practical considerations at the time of the initial surgery, resulting in resection of dilated intestinal segments or ostomy creation. Serial transverse enteroplasty (STEP) is an alternative approach that offers the potential benefits of promptly estab-lishing intestinal continuity and avoiding further loss of intestinal absorptive area.…”

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confidence: 99%

Success of Serial Transverse Enteroplasty in an Adult With Extreme Short Bowel Syndrome: A Case Report

Fan

Zhang

et al. 2015

International Surgery

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Since its introduction as an alternative intestinal lengthening technique, serial transverse enteroplasty has been increasingly used as the surgical treatment of choice for children with refractory short bowel syndrome, but there have been few reports about the adult patients. This report describes the case of a 71-year-old man with a short bowel after distal gastrectomy with Billroth II reconstruction for gastric cancer, followed by extensive intestinal resection. The serial transverse enteroplasty operation was performed and lengthened the small intestine from 49 to 67 cm. The patient tolerated the procedure well and weaned off total parenteral nutrition. Liver function also improved. This case shows that the serial transverse enteroplasty procedure increases intestinal length. This procedure should be considered a surgical option for adult patients with extreme short bowel syndrome.Key words: Adult -Extreme short bowel syndrome -Intestinal lengthening -Serial transverse enteroplasty S hort bowel syndrome (SBS) is caused by the anatomic or functional loss of a large segment of small intestine and is characterized by the inability to maintain protein energy, fluid, electrolyte, or micronutrient balances when on a conventionally accepted normal diet.1 Surgical management of SBS focuses on the principles of bowel conservation and restoration of intestinal continuity, which includes a variety of procedures designed to delay intestinal transit, taper dilated intestine, lengthen the bowel, or replace the lost bowel with an intestinal transplant.2,3 However, conservation principles often give way to practical considerations at the time of the initial surgery, resulting in resection of dilated intestinal segments or ostomy creation. Serial transverse enteroplasty (STEP) is an alternative approach that offers the potential benefits of promptly estab- The serial transverse enteroplasty procedure was first described in 2003 as an alternative intestinal lengthening technique for patients with refractory SBS.5 Similar to other bowel lengthening procedures, STEP lengthens the intestine and narrows bowel diameter with the intent of improving peristalsis and preventing small bowel bacterial overgrowth, malabsorption, and sepsis. 6 In contrast, STEP has gained favorability as its novel approach is intuitive, relatively easy to perform, poses minimal threat to intestinal blood supply, and can be utilized for varying degrees of bowel dilatation. 4,6 Accepted indications of STEP include intestinal failure and bacterial overgrowth refractory to maximal medical management, as well as neonatal intestinal atresias or obstructions with limited small bowel length and a dilated proximal segment. However, most reports of STEP were in children with SBS; there were few reports in adult patients. Herein, we report the successful clinical application of this procedure in an adult patient who suffered from proximal 85% of small intestine removed, remained total parenteral nutrition (TPN)-dependent, and was diagnosed with parenteral nutritiona...

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