Congenital short bowel syndrome: a case report and review of the literature.

Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie
Mohammed HasosahRichard Schreiber

Abstract

Congenital short bowel syndrome (SBS) is a rare condition of the newborn, with several reports demonstrating high mortality. A six-week-old boy presented with chronic diarrhea and failure to thrive. An upper gastrointestinal endoscopy showed a straight duodenum, and multiple small bowel biopsies were histologically normal. An upper gastrointestinal series showed malrotation. At laparotomy, the small bowel was 50 cm in length, confirming the diagnosis of congenital SBS. Parenteral nutrition was initiated and enteral feeding with an amino acid-based formula containing long-chain fatty acids was introduced early and gradually advanced. At the last follow-up examination at 24 months, he was thriving on a regular diet, with normal growth and development. Long-term survival of children with congenital SBS is now possible if enteral feeds are introduced early to promote intestinal adaptation, with subsequent weaning off parenteral nutrition.

Citations

Nov 11, 2011·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·Andreas MarneridesNikos Papadogiannakis
Aug 1, 2018·The Journal of Cell Biology·Aravind Sivakumar, Natasza A Kurpios
Sep 22, 2020·The Journal of International Medical Research·Mostafa ZainMostafa Kotb
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Dec 23, 2008·Developmental Biology·Sara CervantesMatthias Hebrok
Mar 6, 2009·Current Opinion in Supportive and Palliative Care

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