Use of jejunal neomucosa in the treatment of the short gut syndrome in pigs

Binnington, H. Bradley; Tumbleson, Mike E; Ternberg, Jessie L.

doi:10.1016/0022-3468(75)90364-4

Cited by 40 publications

(5 citation statements)

References 3 publications

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“…Las distintas técnicas quirúrgicas que se han aplicado para reducir las manifestaciones clínicas del SIC son: a) asas intestinales antiperistálticas (6-8); b) asas intestinales de recirculación (9-11); c) marcapasos eléctrico retró-grado (12); d) reducción del calibre y plicatura intestinal (13,14); e) miotomías intestinales (15,16); f) bolsas intestinales (17); g) anillos periintestinales (18); h) crecimiento de neomucosa intestinal (19); i) transplante de intestino delgado (20); j) reducción del calibre y alargamiento del intestino delgado (21); k) alargamiento secuencial (22); y l) formación de válvulas.…”

Section: Discussionunclassified

A new neovalve type in short bowel syndrome surgery

Zurita

Raurich

Ramirez³

et al. 2004

Rev. esp. enferm. dig.

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The objective of this study was to compare the clinical and analytical repercussion of a new type of intestinal valve -which can be used in both massive resections and right hemicolectomies requiring the elimination of the ileocecal valve-on two historical series of patients: one group with ileocolic resections and end-toend anastomoses (EE), and one group with Ricotta valves.We compared 23 patients with ileocolic resection and end-toend anastomosis, 15 with Ricotta's valve, and 20 patients with a new valve made with a small intestinal invagination. There were no statistically significant differences in baseline characteristics among patients. Patients with the new valve showed less relevant weight loss and fewer stools at 3 months and one year when compared to patients with Ricotta's valve, and particularly those with ileocolic resection. Moreover, with the new valve technique there was neither colonization of the ileal mucosa nor bacterial overgrowth.In conclusion, in massive intestinal resections and right hemicolectomies, including the ileocecal valve, the new valve technique would be of choice.

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Section: Discussionunclassified

A new neovalve type in short bowel syndrome surgery

Zurita

Raurich

Ramirez³

et al. 2004

Rev. esp. enferm. dig.

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“…, for perforated duodenal ulcer), t he adjace nt mu co sa cove red th e serosal surface (71). E xp erimentally , wh en defects have been created in th e G I tract, ncomucosa has bee n shown to grow ont o the patch of adjacent bowel serosa , a b do m ina l wa ll pedicle flap s , a nd prosthetic surfaces (72)(73)(74)(75) .…”

Section: A Methods To Increase Mucosal Surface Ar Ea: Neomucosamentioning

confidence: 99%

Nontransplant Surgical Options for Management of the Short Bowel Syndrome

Warner,

Chaet

1993

J. pediatr. gastroenterol. nutr.

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“…In our opinion, the technique described by Kimura and Soper and the tapering technique for segmental dilations are too risky. Other techniques, such as reversed intestinal segments [39, 40], electrical pacing [41, 42, 43], antiperistaltic segments [44, 45], use of small bowel neomucosa [11, 46], artificial sphincter [47, 48, 49], intestinal recirculation, intrinsic myenteric denervation, or colon interposition, have been anecdotally performed, and it is difficult to generalize their results. Interventions such as elongation after intestinal bipartition (longitudinal intestinal lengthening and tailoring) [50, 51, 52] or DBG are useful and applicable in cases of long dilated segments.…”

Section: Reviewmentioning

confidence: 99%

Long-Term Results of Serial Transverse Enteroplasty with Neovalve Creation for Extreme Short Bowel Syndrome: Report of Two Cases

Botey

Alastrué

Haetta³

et al. 2017

Case Rep Gastroenterol

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Objective: The aim of this article was to determine whether serial transverse enteroplasty (STEP) and the creation of a new ileocecal valve in extreme short bowel syndrome (SBS) cases (<45 cm) is effective in intestinal adaptation and improvement of nutritional parameters and serum citrulline levels. Patients and Methods: We present 2 cases of SBS treated with STEP. Enterectomy was performed for massive intestinal ischemia secondary to a gastrointestinal stromal tumor in the first case and to catastrophic antiphospholipid syndrome in the second. After enterectomy, the short residual bowel measured 34 cm in the first patient and 45 cm in the second. In both cases STEP, cholecystectomy, and gastrostomy were performed. In the first case a Brooke neovalve was created, and in the other the ileocecal valve was preserved. Results: Both patients could finally be weaned off total parenteral nutrition (TPN) and gastrostomy feeding, maintaining a good nutritional status 1 year after surgery. Conclusions: In extreme SBS, a minimum length of 80–90 cm of functioning small bowel and an intact ileocecal valve are necessary. We plead for the use of STEP with preservation of the ileocecal valve or creation of a neovalve using the Brooke technique in order to achieve the ultimate goal, which is to wean patients off TPN. After a critical review of different surgical techniques, a treatment algorithm is proposed.

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Use of jejunal neomucosa in the treatment of the short gut syndrome in pigs

Cited by 40 publications

References 3 publications

A new neovalve type in short bowel syndrome surgery

A new neovalve type in short bowel syndrome surgery

Nontransplant Surgical Options for Management of the Short Bowel Syndrome

Long-Term Results of Serial Transverse Enteroplasty with Neovalve Creation for Extreme Short Bowel Syndrome: Report of Two Cases

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