Reinfusion of Succus Entericus Into the Mucous Fistula Decreases Dependence on Parenteral Nutrition in Neonates

Abstract

The expected benefits of reinfusing succus entericus are to prevent atrophy of the distal gastrointestinal tract and to allow normal digestion and absorption of nutrients, electrolytes, minerals, and fluid."

Chyme reinfusion or enteroclysis in nutrition of patients with temporary double enterostomy or enterocutaneous fistula

“…Plasma liver tests improvement seems greater in patients treated by enteroclysis coupled with CR than by enteroclysis alone [6]. In neonates and premature infants with double enterostomies, CR reduces PN dependence and and corrects plasma liver tests abnormalities [9]. CR improved nutritional status [4,6,7].…”

“…CR [4] (or re-feeding enteroclysis [2,5] or succus entericus reinfusion [8,9]) is an EN technique which artificially re-establishes the small bowel continuity by an extra-corporeal circuit of the chyme and mimics the definitive gastro-intestinal function; the chyme, composed of digestive secretions and nutrients from oral food and/or tube feeding, is collected from the afferent small bowel, and reinfused via the enterostomy or the ECF into the efferent diverted small bowel segment. CR could be, at best, in our experience, continuous, through a portable or not automated pump, or, as reported by others [5], sequential by manual chyme decanting.…”

“…Once the patient has been adequately trained and is capable of correctly adjusting the rate of reinfusion, mandatorily orally fed ad libitum with smooth puree meals. In case of insufficient food or hydration intake during CR, EN and additional hydration solutions could be administered classically through a nasogastric feeding tube, gastrostomy or jejunostomy, or, in some cases, by "en Y" enteroclysis in the reinfusion tube into the downstream small bowel [6,8,9].…”

“…Therefore, the availabilities of low cost, safer, and easy-to-use nutrition support techniques could be of high added value in these type 2 IF patients. Chyme reinfusion (CR) [4][5][6][7][8][9] and enteroclysis [5,6,10] could be these techniques.…”

Chyme Reinfusion for Small Bowel Double Enterostomies and Enteroatmospheric Fistulas in Adult Patients: A Systematic Review

“…Several studies have proposed reinfusing chyme from the proximal DES limb or EAF into the downstream bowel as a means of addressing these complications, when the distal limb is accessible . This technique is often referred to as chyme or succus entericus reinfusion .…”